Provider Demographics
NPI:1467666263
Name:KEARSARGE REGIONAL SCHOOL DISTRICT
Entity Type:Organization
Organization Name:KEARSARGE REGIONAL SCHOOL DISTRICT
Other - Org Name:SAU 65
Other - Org Type:Other Name
Authorized Official - Title/Position:SUPERINTENDENT OF SCHOOLS
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:J
Authorized Official - Last Name:BRENNAN
Authorized Official - Suffix:II
Authorized Official - Credentials:EDD
Authorized Official - Phone:603-526-2051
Mailing Address - Street 1:169 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NEW LONDON
Mailing Address - State:NH
Mailing Address - Zip Code:03257-7804
Mailing Address - Country:US
Mailing Address - Phone:603-526-2051
Mailing Address - Fax:603-526-2145
Practice Address - Street 1:169 MAIN ST
Practice Address - Street 2:
Practice Address - City:NEW LONDON
Practice Address - State:NH
Practice Address - Zip Code:03257-7804
Practice Address - Country:US
Practice Address - Phone:603-526-2051
Practice Address - Fax:603-526-2145
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-10
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
NH50006500Medicaid