Provider Demographics
NPI:1275663395
Name:THE TOWN OF LENOX
Entity Type:Organization
Organization Name:THE TOWN OF LENOX
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:P
Authorized Official - Last Name:COAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:431-637-5571
Mailing Address - Street 1:129 WEST ST
Mailing Address - Street 2:MORRIS SCHOOL
Mailing Address - City:LENOX
Mailing Address - State:MA
Mailing Address - Zip Code:01240-2420
Mailing Address - Country:US
Mailing Address - Phone:413-634-5571
Mailing Address - Fax:
Practice Address - Street 1:129 WEST ST
Practice Address - Street 2:MORRIS SCHOOL
Practice Address - City:LENOX
Practice Address - State:MA
Practice Address - Zip Code:01240-2420
Practice Address - Country:US
Practice Address - Phone:413-634-5571
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1951394Medicaid