Provider Demographics
NPI:1902024128
Name:SOUHEGAN COOPERATIVE SCHOOL DISTRICT
Entity Type:Organization
Organization Name:SOUHEGAN COOPERATIVE SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SPEC. SERVICES
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:
Authorized Official - Last Name:SKOGLUND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-673-2690
Mailing Address - Street 1:PO BOX 849
Mailing Address - Street 2:1 SCHOOL STREET
Mailing Address - City:AMHERST
Mailing Address - State:NH
Mailing Address - Zip Code:03031-0849
Mailing Address - Country:US
Mailing Address - Phone:603-673-2690
Mailing Address - Fax:603-672-1786
Practice Address - Street 1:1 SCHOOL ST
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NH
Practice Address - Zip Code:03031-2973
Practice Address - Country:US
Practice Address - Phone:603-673-2690
Practice Address - Fax:603-672-1786
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH50001100Medicaid