Provider Demographics
NPI:1073638045
Name:CITY OF BOSTON
Entity Type:Organization
Organization Name:CITY OF BOSTON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF BUDGET MANAGEMENT
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:AHERN
Authorized Official - Last Name:CONNOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-635-3874
Mailing Address - Street 1:1 BOSTON CITY HALL PLAZA
Mailing Address - Street 2:CITY OF BOSTON OFFICE OF BUDGET MANAGEMENT ROOM 812
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02201-0001
Mailing Address - Country:US
Mailing Address - Phone:617-635-3874
Mailing Address - Fax:617-635-3152
Practice Address - Street 1:1 BOSTON CITY HALL PLAZA
Practice Address - Street 2:CITY OF BOSTON OFFICE OF BUDGET MANAGEMENT ROOM 812
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02201-0001
Practice Address - Country:US
Practice Address - Phone:617-635-3874
Practice Address - Fax:617-635-3152
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2008-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1950002Medicaid