MEDICARE: WILTON SCHOOL DISTRICT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251300000X	Local Education Agency (LEA)	251300000X	NH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1235369869
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILTON SCHOOL DISTRICT

Provider Business Mailing Address
First Line	:	1 CHALET DRIVE
Second Line	:	PO BOX 1149
City	:	WILTON
State	:	NH
Zip	:	03086
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 CHALET DRIVE
Second Line	:	SUITE 105
City	:	WILTON
State	:	NH
Zip	:	03086
Country	:	US
Telephone Number	:	603-878-8100
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF STUDENT SUPPORT
Name	:	MS. JEANNE MALOUIN
Credential	:
Telephone Number	:	603-878-8129

Provider Enumeration Date	:	07/16/2009
Last Update Date	:	07/16/2009

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Directions to “WILTON SCHOOL DISTRICT ” Practice Location

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