1376665059 NPI number — TOWN OF BOYLSTON, SCHOOL DEPT

Table of content: (NPI 1376665059)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1376665059 NPI number — TOWN OF BOYLSTON, SCHOOL DEPT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TOWN OF BOYLSTON, SCHOOL DEPT
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1376665059
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
215 MAIN ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BOYLSTON
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01505-2023
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
508-869-2837
Provider Business Mailing Address Fax Number:
508-869-0023

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
215 MAIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BOYLSTON
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01505-2023
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
508-869-2837
Provider Business Practice Location Address Fax Number:
508-869-0023
Provider Enumeration Date:
04/04/2007

Additional Information

Authorized Official

Authorized Official Last Name:
ROY
Authorized Official First Name:
JOHN
Authorized Official Middle Name:
M
Authorized Official Title or Position:
DIRECTOR OF FINANCIAL SERVICES
Authorized Official Telephone Number:
508-869-2837

Provider Taxonomy Codes

  • Taxonomy code: 251300000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1951629 . This is a "MASSHEALTH PROVIDER NUM" identifier . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com