Provider Demographics
NPI:1760604078
Name:ROCHESTER SCHOOL DISTRICT
Entity Type:Organization
Organization Name:ROCHESTER SCHOOL DISTRICT
Other - Org Name:ROCHESTER SCHOOL DEPARTMENT, ROCHESTER SCHOOL DISTRICT
Other - Org Type:Other Name
Authorized Official - Title/Position:SUPERINTENDENT OF SCHOOLS
Authorized Official - Prefix:MR
Authorized Official - First Name:KYLE
Authorized Official - Middle Name:
Authorized Official - Last Name:REPUCCI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-332-3678
Mailing Address - Street 1:150 WAKEFIELD STREET, SUITE 8
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03867
Mailing Address - Country:US
Mailing Address - Phone:603-332-3678
Mailing Address - Fax:603-335-7367
Practice Address - Street 1:150 WAKEFIELD STREET, SUITE 8
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03867
Practice Address - Country:US
Practice Address - Phone:603-332-3678
Practice Address - Fax:603-335-7367
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CITY OF ROCHESTER, NH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-05-03
Last Update Date:2020-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH50004163Medicaid