Healthcare Provider Details

I. General information

NPI: 1881714376
Provider Name (Legal Business Name): MANCHESTER SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2007
Last Update Date: 07/07/2020
Certification Date: 07/07/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 HECKER STREET
MANCHESTER NH
03102-3975
US

IV. Provider business mailing address

20 HECKER STREET
MANCHESTER NH
03102-3975
US

V. Phone/Fax

Practice location:
  • Phone: 603-624-6333
  • Fax: 603-624-6337
Mailing address:
  • Phone: 603-624-6333
  • Fax: 603-624-6337

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: JOHN GOLDHARDT
Title or Position: SUPERINTENDENT OF SCHOOLS
Credential: ED.D.
Phone: 603-624-6300