Provider Demographics
NPI:1043350010
Name:DERBY PUBLIC SCHOOLS
Entity Type:Organization
Organization Name:DERBY PUBLIC SCHOOLS
Other - Org Name:DERBY BOARD OF EDUCATION
Other - Org Type:Other Name
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:J
Authorized Official - Last Name:CONWAY
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:203-736-5027
Mailing Address - Street 1:35 FIFTH ST.
Mailing Address - Street 2:
Mailing Address - City:DERBY
Mailing Address - State:CT
Mailing Address - Zip Code:06418-1832
Mailing Address - Country:US
Mailing Address - Phone:203-736-5027
Mailing Address - Fax:203-736-5031
Practice Address - Street 1:35 FIFTH ST.
Practice Address - Street 2:
Practice Address - City:DERBY
Practice Address - State:CT
Practice Address - Zip Code:06418-1832
Practice Address - Country:US
Practice Address - Phone:203-736-5027
Practice Address - Fax:203-736-5031
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2016-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251300000XAgenciesLocal Education Agency (LEA)Group - Single Specialty