Provider Demographics
NPI:1053528224
Name:CHESTER SCHOOL DISTRICT
Entity type:Organization
Organization Name:CHESTER SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL EDUCATION DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JANA
Authorized Official - Middle Name:
Authorized Official - Last Name:RUIZ
Authorized Official - Suffix:
Authorized Official - Credentials:SPECIAL ED ADMIN
Authorized Official - Phone:603-887-3621
Mailing Address - Street 1:22 MURPHY DR
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03036-8108
Mailing Address - Country:US
Mailing Address - Phone:603-887-3621
Mailing Address - Fax:603-887-7586
Practice Address - Street 1:22 MURPHY DR
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:NH
Practice Address - Zip Code:03036-8108
Practice Address - Country:US
Practice Address - Phone:603-887-3621
Practice Address - Fax:603-887-7586
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-17
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
NH50006509Medicaid