Provider Demographics
NPI:1073717807
Name:NORTH SMITHFIELD SCHOOL DEPARTMENT
Entity Type:Organization
Organization Name:NORTH SMITHFIELD SCHOOL DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR PUPIL SERVICES
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:R
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:MED
Authorized Official - Phone:401-769-5492
Mailing Address - Street 1:82 GREEN STREET
Mailing Address - Street 2:
Mailing Address - City:SLATERSVILLE
Mailing Address - State:RI
Mailing Address - Zip Code:02876-0072
Mailing Address - Country:US
Mailing Address - Phone:401-769-5492
Mailing Address - Fax:401-769-5493
Practice Address - Street 1:82 GREEN STREET
Practice Address - Street 2:
Practice Address - City:SLATERSVILLE
Practice Address - State:RI
Practice Address - Zip Code:02876-0072
Practice Address - Country:US
Practice Address - Phone:401-769-5492
Practice Address - Fax:401-769-5493
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
RINS12781Medicaid