Healthcare Provider Details

I. General information

NPI: 1134332372
Provider Name (Legal Business Name): BATH SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2007
Last Update Date: 01/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2975 DARTMOUTH COLLEGE HWY SUITE #1
NORTH HAVERHILL NH
03774-4535
US

IV. Provider business mailing address

2975 DARTMOUTH COLLEGE HWY SUITE #1
NORTH HAVERHILL NH
03774-4535
US

V. Phone/Fax

Practice location:
  • Phone: 603-787-2150
  • Fax: 603-787-2118
Mailing address:
  • Phone: 603-787-2150
  • Fax: 603-787-2118

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: SANDEE RUTHERFORD
Title or Position: ASSIST. SPED DIRECTOR
Credential:
Phone: 603-787-2150