MEDICARE: SULLIVAN SCHOOL DISTRICT

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)

General Provider Information

NPI Number	:	1396120960
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SULLIVAN SCHOOL DISTRICT

Provider Business Mailing Address
First Line	:	PO BOX 111
Second Line	:
City	:	SULLIVAN
State	:	NH
Zip	:	03445-0111
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	452 CENTRE ST.
Second Line	:
City	:	SULLIVAN
State	:	NH
Zip	:	03445-9999
Country	:	US
Telephone Number	:	603-239-8061
Fax Number	:

Authorized Official
Title or Position	:	SUPERINTENDENT
Name	:	DR. KENNETH DASSAU
Credential	:
Telephone Number	:	603-239-8061

Provider Enumeration Date	:	07/24/2015
Last Update Date	:	07/24/2015

Similar Medicare Providers

1932131620 — SHANNON R SOKOLOWSKI LICSW
Practice Location Address:

172 VALLEY RD
SULLIVAN, NH
03445-4233

Practice Phone: 774-260-1158
Practice Fax: 508-433-1871

1427319284 — MRS. LIZA H DREW R.D., L.D.
Practice Location Address:

127 TAYLOR POND RD
SULLIVAN, NH
03445-4420

Practice Phone: 603-831-0688
Practice Fax: 888-626-3687

1194600262 — MOLLY MORIN RDH
Practice Location Address:

270 CENTRE ST
SULLIVAN, NH
03445-4112

Practice Phone: 603-465-1865
Practice Fax:

1922212059 — SERVICENET, INC.
Practice Location Address:

63 FRENCH KING HWY
GREENFIELD, MA
01301-1337

Practice Phone: 413-772-6298
Practice Fax:

1548660533 — REBECCA HENAULT COTAL
Practice Location Address:

136A ARCH ST
KEENE, NH
03431-2186

Practice Phone: 603-357-3902
Practice Fax:

1801483375 — MOLLIE TORREY OTR
Practice Location Address:

580 COURT ST
KEENE, NH
03431-1729

Practice Phone: 603-354-5400
Practice Fax:

Directions to “SULLIVAN SCHOOL DISTRICT ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.