Healthcare Provider Details

I. General information

NPI: 1194938803
Provider Name (Legal Business Name): ANDOVER SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 SCHOOL STREET
ANDOVER NH
03216
US

IV. Provider business mailing address

PO BOX 87
ANDOVER NH
03216-0087
US

V. Phone/Fax

Practice location:
  • Phone: 603-735-5494
  • Fax:
Mailing address:
  • Phone: 603-735-5494
  • Fax: 603-735-6108

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State

VIII. Authorized Official

Name: MS. JANE SLAYTON
Title or Position: PRINCIPAL
Credential: M.ED.
Phone: 603-735-5494