Provider Demographics
NPI:1326176868
Name:PAWTUCKET SCHOOL DEPARTMENT
Entity Type:Organization
Organization Name:PAWTUCKET SCHOOL DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:CONLON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-729-6312
Mailing Address - Street 1:286 MAIN ST
Mailing Address - Street 2:PO BOX 388
Mailing Address - City:PAWTUCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02860-2908
Mailing Address - Country:US
Mailing Address - Phone:401-729-6312
Mailing Address - Fax:401-727-1641
Practice Address - Street 1:286 MAIN ST
Practice Address - Street 2:
Practice Address - City:PAWTUCKET
Practice Address - State:RI
Practice Address - Zip Code:02860-2908
Practice Address - Country:US
Practice Address - Phone:401-729-6312
Practice Address - Fax:401-727-1641
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI90033251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIPS11559OtherSCHOOL DISTRICT