MEDICARE: SCHOOL ADMINISTRATIVE UNIT 61

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	:	1861619090
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SCHOOL ADMINISTRATIVE UNIT 61

Provider Business Mailing Address
First Line	:	356 MAIN ST
Second Line	:
City	:	FARMINGTON
State	:	NH
Zip	:	03835-3769
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	356 MAIN ST
Second Line	:
City	:	FARMINGTON
State	:	NH
Zip	:	03835-3769
Country	:	US
Telephone Number	:	603-755-2627
Fax Number	:

Authorized Official
Title or Position	:	SPED DIRECTOR
Name	:	SUE PLEAU
Credential	:
Telephone Number	:	603-755-2627

Provider Enumeration Date	:	04/19/2007
Last Update Date	:	08/22/2020

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