Provider Demographics
NPI:1790909323
Name:FREEDOM SCHOOL DISTRICT
Entity Type:Organization
Organization Name:FREEDOM SCHOOL DISTRICT
Other - Org Name:SAU 13
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GWEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:POIRIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-539-2610
Mailing Address - Street 1:626 PLAINS RD
Mailing Address - Street 2:
Mailing Address - City:SILVER LAKE
Mailing Address - State:NH
Mailing Address - Zip Code:03875-8700
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:40 LOON LAKE RD
Practice Address - Street 2:
Practice Address - City:FREEDOM
Practice Address - State:NH
Practice Address - Zip Code:03836-4912
Practice Address - Country:US
Practice Address - Phone:603-539-2610
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH50004170Medicaid