Provider Demographics
NPI:1154451706
Name:DENNIS YARMOUTH REGIONAL SCH DIST
Entity Type:Organization
Organization Name:DENNIS YARMOUTH REGIONAL SCH DIST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT OF SCHOOLS
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:WOODBURY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-398-7605
Mailing Address - Street 1:296 STATION AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH YARMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02664-1862
Mailing Address - Country:US
Mailing Address - Phone:508-398-7605
Mailing Address - Fax:508-398-7622
Practice Address - Street 1:296 STATION AVE
Practice Address - Street 2:
Practice Address - City:SOUTH YARMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02664-1862
Practice Address - Country:US
Practice Address - Phone:508-398-7605
Practice Address - Fax:508-398-7622
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
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
MA1950363Medicaid