Organization Active NPI

Stark Village School

  • Local Education Agency (LEA)
  • Stark, NH
National Provider Identifier
1205040334
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
License
50004023 Issued in NH
Legal business name
STARK VILLAGE SCHOOL
Practice address
1192 Stark Hwy
Stark, NH 03582-6212
Phone
(603) 636-1092
NPI assigned
May 9, 2007
Last updated
Jun 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Pamela R Macdonald
Title
Special Education Director
Phone
(603) 636-2492

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X 50004023 NH Primary

Addresses

Primary practice location

1192 Stark Hwy
Stark, NH 03582-6212

Mailing address

65 State St
Groveton, NH 03582-4087

Other identifiers 1

IdentifierTypeStateIssuer
50004023MedicaidNH

National Provider Directory

National Provider Directory

Locations

65 State St
Groveton, NH 03582
Phone (603) 636-2492

1192 Stark Hwy
Stark, NH 03582
Phone (603) 636-1092

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1205040334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 STATE ST",
            "city": "GROVETON",
            "state": "NH",
            "postal_code": "035824087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1192 STARK HWY",
            "city": "STARK",
            "state": "NH",
            "postal_code": "035826212",
            "telephone_number": "603-636-1092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARK VILLAGE SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "MACDONALD",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "SPECIAL EDUCATION DIRECTOR",
        "authorized_official_telephone_number": "603-636-2492",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NH",
            "license": "50004023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50004023",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stark, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.