Provider Demographics
NPI:1700090065
Name:HOOKSETT SPECIAL EDUCATION
Entity Type:Organization
Organization Name:HOOKSETT SPECIAL EDUCATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL EDUCATION DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:
Authorized Official - Last Name:POLAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-485-5104
Mailing Address - Street 1:5 MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:HOOKSETT
Mailing Address - State:NH
Mailing Address - Zip Code:03106-1716
Mailing Address - Country:US
Mailing Address - Phone:603-485-5104
Mailing Address - Fax:603-485-2840
Practice Address - Street 1:5 MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:HOOKSETT
Practice Address - State:NH
Practice Address - Zip Code:03106-1716
Practice Address - Country:US
Practice Address - Phone:603-485-5104
Practice Address - Fax:603-485-2840
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-09
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
NH50001500Medicaid