1144353673 NPI number — TOWN OF EAST BRIDGEWATER

Table of content: (NPI 1144353673)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144353673 NPI number — TOWN OF EAST BRIDGEWATER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TOWN OF EAST BRIDGEWATER
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:
EAST BRIDGEWATER PUBLIC SCHOOLS
Provider Other Organization Name Type Code:
3
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:
1144353673
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:
198 SPRING ST
Provider Second Line Business Mailing Address:
MICHAEL LALIBERTE
Provider Business Mailing Address City Name:
ROCKLAND
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02370-2649
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
781-878-6056
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
435 CENTRAL ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
EAST BRIDGEWATER
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02333-2098
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
508-378-8247
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/13/2007

Additional Information

Authorized Official

Authorized Official Last Name:
STROJNY
Authorized Official First Name:
MARGARET
Authorized Official Middle Name:
H
Authorized Official Title or Position:
SUPERINTENDENT OF SCHOOLS
Authorized Official Telephone Number:
508-378-8200

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: 1951637 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".




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