Provider Demographics
NPI:1215143649
Name:CONTOOCOOK VALLEY SCHOOL DISTRICT
Entity type:Organization
Organization Name:CONTOOCOOK VALLEY SCHOOL DISTRICT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE ASSISTANT SPECIAL ED
Authorized Official - Prefix:MRS
Authorized Official - First Name:JERILYNN
Authorized Official - Middle Name:
Authorized Official - Last Name:O CONNOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-924-7503
Mailing Address - Street 1:106 HANCOCK ROAD
Mailing Address - Street 2:
Mailing Address - City:PETERBOROUGH
Mailing Address - State:NH
Mailing Address - Zip Code:03458
Mailing Address - Country:US
Mailing Address - Phone:603-924-7503
Mailing Address - Fax:603-924-0070
Practice Address - Street 1:106 HANCOCK RD
Practice Address - Street 2:
Practice Address - City:PETERBOROUGH
Practice Address - State:NH
Practice Address - Zip Code:03458-1109
Practice Address - Country:US
Practice Address - Phone:603-924-7503
Practice Address - Fax:603-924-0070
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH50001000Medicaid