1083744007 NPI number — TOWN OF TRURO

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1083744007 NPI number — TOWN OF TRURO

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TOWN OF TRURO
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:
6
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:
1083744007
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:
PO BOX 2029
Provider Second Line Business Mailing Address:
TRURO CENTRAL SCHOOL
Provider Business Mailing Address City Name:
TRURO
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02666-2029
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
508-487-1558
Provider Business Mailing Address Fax Number:
508-487-4289

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
317 ROUTE 6
Provider Second Line Business Practice Location Address:
TRURO CENTRAL SCHOOL
Provider Business Practice Location Address City Name:
TRURO
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02666-2029
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
508-487-1558
Provider Business Practice Location Address Fax Number:
508-487-4289
Provider Enumeration Date:
03/07/2007

Additional Information

Authorized Official

Authorized Official Last Name:
DAVIS
Authorized Official First Name:
BRIAN
Authorized Official Middle Name:
Authorized Official Title or Position:
SUPERINTENDENT OF SCHOOLS
Authorized Official Telephone Number:
508-487-1558

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: 1954067 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".




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