Provider Demographics
NPI:1265641666
Name:TIMBERLANE REGIONAL SCHOOL DISTRICT
Entity Type:Organization
Organization Name:TIMBERLANE REGIONAL SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR, PUPIL PERSONNEL SERIVES
Authorized Official - Prefix:MRS
Authorized Official - First Name:EDWINA
Authorized Official - Middle Name:
Authorized Official - Last Name:LOVETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-382-6119
Mailing Address - Street 1:30 GREENOUGH ROAD
Mailing Address - Street 2:PUPIL PERSONNEL SERVICES
Mailing Address - City:PLAISTOW
Mailing Address - State:NH
Mailing Address - Zip Code:03865-3014
Mailing Address - Country:US
Mailing Address - Phone:603-382-6119
Mailing Address - Fax:603-382-3334
Practice Address - Street 1:30 GREENOUGH ROAD
Practice Address - Street 2:PUPIL PERSONNEL SERVICES
Practice Address - City:PLAISTOW
Practice Address - State:NH
Practice Address - Zip Code:03865-3014
Practice Address - Country:US
Practice Address - Phone:603-382-6119
Practice Address - Fax:603-382-3334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
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
NH50005500Medicaid