MEDICARE: STRATFORD PUBLIC SCHOOL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251300000X	Local Education Agency (LEA)	50004024	NH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245444389
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STRATFORD PUBLIC SCHOOL

Provider Business Mailing Address
First Line	:	65 STATE ST
Second Line	:
City	:	GROVETON
State	:	NH
Zip	:	03582-4087
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	19 SCHOOL ST
Second Line	:
City	:	NORTH STRATFORD
State	:	NH
Zip	:	03590-4282
Country	:	US
Telephone Number	:	603-922-3303
Fax Number	:

Authorized Official
Title or Position	:	SPECIAL EDUCATION DIRECTOR
Name	:	MRS. PAMELA R MACDONALD
Credential	:
Telephone Number	:	603-636-2492

Provider Enumeration Date	:	05/09/2007
Last Update Date	:	08/22/2020

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