Provider Demographics
NPI:1235269523
Name:TOWN OF WAREHAM
Entity Type:Organization
Organization Name:TOWN OF WAREHAM
Other - Org Name:WAREHAM PUBLIC SCHOOLS
Other - Org Type:Other Name
Authorized Official - Title/Position:SUPERINTENDENT OF SCHOOLS
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:COLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-291-3500
Mailing Address - Street 1:54 MARION RD
Mailing Address - Street 2:
Mailing Address - City:WAREHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02571-1428
Mailing Address - Country:US
Mailing Address - Phone:508-291-3500
Mailing Address - Fax:508-291-3578
Practice Address - Street 1:54 MARION RD
Practice Address - Street 2:
Practice Address - City:WAREHAM
Practice Address - State:MA
Practice Address - Zip Code:02571-1428
Practice Address - Country:US
Practice Address - Phone:508-291-3500
Practice Address - Fax:508-291-3578
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
MA1951157Medicaid