Provider Demographics
NPI:1114131190
Name:MASCOMA VALLEY REGIONAL SCHOOL DISTRICT
Entity Type:Organization
Organization Name:MASCOMA VALLEY REGIONAL SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL EDUCATION DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:M
Authorized Official - Last Name:LOGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-632-5563
Mailing Address - Street 1:PO BOX 789
Mailing Address - Street 2:547 US ROUTE 4
Mailing Address - City:ENFIELD
Mailing Address - State:NH
Mailing Address - Zip Code:03748-0789
Mailing Address - Country:US
Mailing Address - Phone:603-632-5563
Mailing Address - Fax:603-632-4181
Practice Address - Street 1:547 US ROUTE 4
Practice Address - Street 2:
Practice Address - City:ENFIELD
Practice Address - State:NH
Practice Address - Zip Code:03748-0789
Practice Address - Country:US
Practice Address - Phone:603-632-5563
Practice Address - Fax:603-632-4181
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)