MEDICARE: PIERMONT 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)		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	:	1558574780
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PIERMONT SCHOOL DISTRICT

Provider Business Mailing Address
First Line	:	2975 DARTMOUTH COLLEGE HWY
Second Line	:	SUITE #1
City	:	NORTH HAVERHILL
State	:	NH
Zip	:	03774-4535
Country	:	US
Telephone Number	:	603-787-2150
Fax Number	:	603-787-2118

Provider Business Practice Location Address
First Line	:	2975 DARTMOUTH COLLEGE HWY
Second Line	:	SUITE #1
City	:	NORTH HAVERHILL
State	:	NH
Zip	:	03774-4535
Country	:	US
Telephone Number	:	603-787-2150
Fax Number	:	603-787-2118

Authorized Official
Title or Position	:	ASSIST. SPED DIRECTOR
Name	:	SANDEE RUTHERFORD
Credential	:
Telephone Number	:	603-787-2150

Provider Enumeration Date	:	05/07/2007
Last Update Date	:	01/25/2008

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Directions to “PIERMONT SCHOOL DISTRICT ” Practice Location

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