Provider Demographics
NPI:1285847426
Name:WARREN SCHOOL DISTRICT
Entity Type:Organization
Organization Name:WARREN SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSIST. SPED DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SANDEE
Authorized Official - Middle Name:
Authorized Official - Last Name:RUTHERFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-787-2150
Mailing Address - Street 1:2975 DARTMOUTH COLLEGE HWY
Mailing Address - Street 2:SUITE #1
Mailing Address - City:NORTH HAVERHILL
Mailing Address - State:NH
Mailing Address - Zip Code:03774-4535
Mailing Address - Country:US
Mailing Address - Phone:603-787-2150
Mailing Address - Fax:603-787-2118
Practice Address - Street 1:2975 DARTMOUTH COLLEGE HWY
Practice Address - Street 2:SUITE #1
Practice Address - City:NORTH HAVERHILL
Practice Address - State:NH
Practice Address - Zip Code:03774-4535
Practice Address - Country:US
Practice Address - Phone:603-787-2150
Practice Address - Fax:603-787-2118
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-07
Last Update Date:2008-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH50002303Medicaid