Provider Demographics
NPI:1376614230
Name:COLCHESTER BOARD OF EDUCATION
Entity Type:Organization
Organization Name:COLCHESTER BOARD OF EDUCATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:R
Authorized Official - Last Name:SHUAGHNESSY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-537-3103
Mailing Address - Street 1:127 NORWICH AVE
Mailing Address - Street 2:ST 202
Mailing Address - City:COLCHESTER
Mailing Address - State:CT
Mailing Address - Zip Code:06415-1230
Mailing Address - Country:US
Mailing Address - Phone:860-537-7267
Mailing Address - Fax:860-537-1252
Practice Address - Street 1:380 NORWICH AVE
Practice Address - Street 2:
Practice Address - City:COLCHESTER
Practice Address - State:CT
Practice Address - Zip Code:06415-1272
Practice Address - Country:US
Practice Address - Phone:860-537-3103
Practice Address - Fax:860-537-6391
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)