Healthcare Provider Details
I. General information
NPI: 1306934963
Provider Name (Legal Business Name): SCHOOL STREET ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/10/2006
Last Update Date: 11/19/2020
Certification Date: 11/19/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
67 SCHOOL STREET
HILLSBORO NH
03244
US
IV. Provider business mailing address
PO BOX 400
HILLSBORO NH
03244-0400
US
V. Phone/Fax
- Phone: 603-464-5561
- Fax:
- Phone: 603-464-5561
- Fax: 603-464-6368
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 313M00000X |
| Taxonomy | Nursing Facility/Intermediate Care Facility |
| License Number | 00534 |
| License Number State | NH |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | 00534 |
| License Number State | NH |
VIII. Authorized Official
Name:
ANDREW
IRWIN
Title or Position: VP
Credential:
Phone: 603-464-5561