| NPI | 1699383737 |
|---|---|
| Doing Business As | JEFFERSON ELEMENTARY SCHOOL |
| Entity Type | Organization |
| Authorized Contact | AMELIA MURPHY Medical Staff Coordinator 208-232-7862 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 101YS0200X Counselor, School |
| Enumeration Date | 2020-07-15 |
| Last Update Date | 2020-07-15 |