Grace Jt School District

LBN: Grace Jt School District
Grace Jt School District is an health care organization with primary practice located at 704 South Hwy 30 , Grace ID 83241. The organization recently has 2 registered licenses in different health care specialties including Agencies / Local Education Agency (LEA), Agencies / Day Training, Developmentally Disabled Services. Agencies / Day Training, Developmentally Disabled Services is the primary health care specialty. Grace Jt School District can be contacted via phone (208) 425-9161, or through Brogan, Gary via phone (208) 425-9161.

Contact Information

Primary practice address
704 South Hwy 30 Grace ID 83241
Phone: (208) 425-9161
Fax: (208) 425-3809
Website:
Map and Directions
Authorized official contact:
Name: Brogan, Gary PHD
Phone: (208) 425-9161

Health care specialties

SpecialtyCodeLicense #State
Agencies / Local Education Agency (LEA) 251300000X
Agencies / Day Training, Developmentally Disabled Services 251C00000X Idaho

Profile Details

NPI number 1285787598
LBN Legal business name Grace Jt School District
DBA Doing business as
Authorized official Brogan, Gary PHD
Entity Organization
Organization subpart 1 No
Enumeration date Jan 19th, 2007
Last updated Aug 13th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285787598 NPPES
Idaho MEDICAID 08051088

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