Provider Demographics
NPI:1669685343
Name:CITY OF DOVER
Entity Type:Organization
Organization Name:CITY OF DOVER
Other - Org Name:DOVER SCHOOL DISTRICT
Other - Org Type:Other Name
Authorized Official - Title/Position:BUSINESS ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LAURIE
Authorized Official - Middle Name:
Authorized Official - Last Name:VERVILLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-515-6808
Mailing Address - Street 1:61 LOCUST STREET MCCONNELL CENTER
Mailing Address - Street 2:SUITE 409
Mailing Address - City:DOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03820
Mailing Address - Country:US
Mailing Address - Phone:603-516-6808
Mailing Address - Fax:603-516-6809
Practice Address - Street 1:61 LOCUST ST
Practice Address - Street 2:MCCONNELL CENTER SUITE 409
Practice Address - City:DOVER
Practice Address - State:NH
Practice Address - Zip Code:03820-3753
Practice Address - Country:US
Practice Address - Phone:603-516-6808
Practice Address - Fax:603-516-6809
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-08
Last Update Date:2008-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH50006011Medicaid