Provider Demographics
NPI:1083744007
Name:TOWN OF TRURO
Entity Type:Organization
Organization Name:TOWN OF TRURO
Other - Org Name:TRURO PUBLIC SCHOOLS
Other - Org Type:Other Name
Authorized Official - Title/Position:SUPERINTENDENT OF SCHOOLS
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-487-1558
Mailing Address - Street 1:PO BOX 2029
Mailing Address - Street 2:TRURO CENTRAL SCHOOL
Mailing Address - City:TRURO
Mailing Address - State:MA
Mailing Address - Zip Code:02666-2029
Mailing Address - Country:US
Mailing Address - Phone:508-487-1558
Mailing Address - Fax:508-487-4289
Practice Address - Street 1:317 ROUTE 6
Practice Address - Street 2:TRURO CENTRAL SCHOOL
Practice Address - City:TRURO
Practice Address - State:MA
Practice Address - Zip Code:02666-2029
Practice Address - Country:US
Practice Address - Phone:508-487-1558
Practice Address - Fax:508-487-4289
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1954067Medicaid