Healthcare Provider Details

I. General information

NPI: 1689892093
Provider Name (Legal Business Name): NORTHWOOD SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

511 1ST NH TPKE
NORTHWOOD NH
03261-3411
US

IV. Provider business mailing address

569 1ST NH TPKE
NORTHWOOD NH
03261-3301
US

V. Phone/Fax

Practice location:
  • Phone: 603-942-5488
  • Fax: 603-942-5746
Mailing address:
  • Phone: 603-942-1290
  • Fax: 603-942-1295

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number50004145
License Number StateNH

VIII. Authorized Official

Name: JUDITH A MCGANN
Title or Position: SUPERINTENDENT
Credential:
Phone: 603-942-1290