Provider Demographics
NPI:1710195482
Name:HINSDALE SCHOOL DISTRICT
Entity Type:Organization
Organization Name:HINSDALE SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT OF SCHOOLS
Authorized Official - Prefix:DR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:R
Authorized Official - Last Name:DASSAU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-352-6955
Mailing Address - Street 1:600 OLD HOMESTEAD HIGHWAY
Mailing Address - Street 2:
Mailing Address - City:SWANZEY
Mailing Address - State:NH
Mailing Address - Zip Code:03446-2310
Mailing Address - Country:US
Mailing Address - Phone:603-352-6955
Mailing Address - Fax:603-358-6708
Practice Address - Street 1:600 OLD HOMESTEAD HIGHWAY
Practice Address - Street 2:
Practice Address - City:SWANZEY
Practice Address - State:NH
Practice Address - Zip Code:03446-2310
Practice Address - Country:US
Practice Address - Phone:603-352-6955
Practice Address - Fax:603-358-6708
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-18
Last Update Date:2007-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH50003964Medicaid