Provider Demographics
NPI:1063617058
Name:DERRY COOPERATIVE SCHOOL DISTRICT
Entity type:Organization
Organization Name:DERRY COOPERATIVE SCHOOL DISTRICT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BUSINESS ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JANE
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-432-1210
Mailing Address - Street 1:18 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:DERRY
Mailing Address - State:NH
Mailing Address - Zip Code:03038-2104
Mailing Address - Country:US
Mailing Address - Phone:603-432-1210
Mailing Address - Fax:603-432-1264
Practice Address - Street 1:18 S MAIN ST
Practice Address - Street 2:
Practice Address - City:DERRY
Practice Address - State:NH
Practice Address - Zip Code:03038-2104
Practice Address - Country:US
Practice Address - Phone:603-432-1210
Practice Address - Fax:603-432-1264
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)