Provider Demographics
NPI:1225158025
Name:HOPEDALE PUBLIC SCHOOLS
Entity Type:Organization
Organization Name:HOPEDALE PUBLIC SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT OF SCHOOLS
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:RUANE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-634-2220
Mailing Address - Street 1:25 ADIN ST
Mailing Address - Street 2:
Mailing Address - City:HOPEDALE
Mailing Address - State:MA
Mailing Address - Zip Code:01747-1237
Mailing Address - Country:US
Mailing Address - Phone:508-634-2220
Mailing Address - Fax:508-478-1471
Practice Address - Street 1:25 ADIN ST
Practice Address - Street 2:
Practice Address - City:HOPEDALE
Practice Address - State:MA
Practice Address - Zip Code:01747-1237
Practice Address - Country:US
Practice Address - Phone:508-634-2220
Practice Address - Fax:508-478-1471
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE TOWN OF HOPEDALE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-03-29
Last Update Date:2008-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA195-0703251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA195-0703Medicaid