Healthcare Provider Details

I. General information

NPI: 1437376951
Provider Name (Legal Business Name): SHAKER REGIONAL SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

58 SCHOOL ST.
BELMONT NH
03220
US

IV. Provider business mailing address

58 SCHOOL ST.
BELMONT NH
03220
US

V. Phone/Fax

Practice location:
  • Phone: 603-267-9223
  • Fax: 603-267-9225
Mailing address:
  • Phone: 603-267-9223
  • Fax: 603-267-9225

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. W. MICHAEL COZORT
Title or Position: SUPERINTENDENT OF SCHOOLS
Credential:
Phone: 603-267-9223