MEDICARE: FREEDOM 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)		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	:	1790909323
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FREEDOM SCHOOL DISTRICT

Provider Business Mailing Address
First Line	:	626 PLAINS RD
Second Line	:
City	:	SILVER LAKE
State	:	NH
Zip	:	03875-8700
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	40 LOON LAKE RD
Second Line	:
City	:	FREEDOM
State	:	NH
Zip	:	03836-4912
Country	:	US
Telephone Number	:	603-539-2610
Fax Number	:

Authorized Official
Title or Position	:	SUPERINTENDENT
Name	:	DR. GWEN M. POIRIER
Credential	:
Telephone Number	:	603-539-2610

Provider Enumeration Date	:	04/13/2007
Last Update Date	:	08/22/2020

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Directions to “FREEDOM SCHOOL DISTRICT ” Practice Location

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