Provider Demographics
NPI:1639387038
Name:BERLIN PUBLIC SCHOOLS
Entity Type:Organization
Organization Name:BERLIN PUBLIC SCHOOLS
Other - Org Name:SAU #3
Other - Org Type:Other Name
Authorized Official - Title/Position:ASSISTANT SUPERINTENDANT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARION
Authorized Official - Middle Name:Y
Authorized Official - Last Name:HUNTLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-752-6500
Mailing Address - Street 1:183 HILLSIDE AVE
Mailing Address - Street 2:
Mailing Address - City:BERLIN
Mailing Address - State:NH
Mailing Address - Zip Code:03570-1889
Mailing Address - Country:US
Mailing Address - Phone:603-752-6500
Mailing Address - Fax:603-752-2528
Practice Address - Street 1:183 HILLSIDE AVE
Practice Address - Street 2:
Practice Address - City:BERLIN
Practice Address - State:NH
Practice Address - Zip Code:03570-1889
Practice Address - Country:US
Practice Address - Phone:603-752-6500
Practice Address - Fax:603-752-2528
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-18
Last Update Date:2008-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH50003003Medicaid