1508070194 NPI number — WATERVILLEL VALLEY SCHOOL DISTRICT

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1508070194 NPI number — WATERVILLEL VALLEY SCHOOL DISTRICT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WATERVILLEL VALLEY SCHOOL DISTRICT
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1508070194
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/22/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
47 OLD WARD BRIDGE ROAD
Provider Second Line Business Mailing Address:
SAU 48
Provider Business Mailing Address City Name:
PLYMOUTH
Provider Business Mailing Address State Name:
NV
Provider Business Mailing Address Postal Code:
03264
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
603-536-1254
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1 NOON PEAK ROAD
Provider Second Line Business Practice Location Address:
WATERVILLE VALLEY SCHOOL DISTRICT
Provider Business Practice Location Address City Name:
WATERVILLE VALLEY
Provider Business Practice Location Address State Name:
NH
Provider Business Practice Location Address Postal Code:
03215
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
603-536-1254
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/10/2007

Additional Information

Authorized Official

Authorized Official Last Name:
GONSALVES
Authorized Official First Name:
FRANCES
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR OF SPECIAL EDUCATION
Authorized Official Telephone Number:
603-536-1254

Provider Taxonomy Codes

  • Taxonomy code: 251300000X , registered in the state of NH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 50004134 , issued by the state of ( NH ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com