Provider Demographics
NPI:1053448894
Name:TOWN OF NORTH KINGSTOWN
Entity Type:Organization
Organization Name:TOWN OF NORTH KINGSTOWN
Other - Org Name:NORTH KINGSTOWN SCHOOL DEPARTMENT
Other - Org Type:Other Name
Authorized Official - Title/Position:SUPERINTENDENT OF SCHOOLS
Authorized Official - Prefix:DR
Authorized Official - First Name:PHIL
Authorized Official - Middle Name:
Authorized Official - Last Name:THORNTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-268-6400
Mailing Address - Street 1:100 FAIRWAY DR
Mailing Address - Street 2:
Mailing Address - City:NORTH KINGSTOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02852-6202
Mailing Address - Country:US
Mailing Address - Phone:401-268-6400
Mailing Address - Fax:401-268-6405
Practice Address - Street 1:100 FAIRWAY DR
Practice Address - Street 2:
Practice Address - City:NORTH KINGSTOWN
Practice Address - State:RI
Practice Address - Zip Code:02852-6202
Practice Address - Country:US
Practice Address - Phone:401-268-6400
Practice Address - Fax:401-268-6405
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TOWN OF NORTH KINGSTOWN
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-02-28
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
RINK00197(I)Medicaid