Provider Demographics
NPI:1376665059
Name:TOWN OF BOYLSTON, SCHOOL DEPT
Entity Type:Organization
Organization Name:TOWN OF BOYLSTON, SCHOOL DEPT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF FINANCIAL SERVICES
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:M
Authorized Official - Last Name:ROY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-869-2837
Mailing Address - Street 1:215 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BOYLSTON
Mailing Address - State:MA
Mailing Address - Zip Code:01505-2023
Mailing Address - Country:US
Mailing Address - Phone:508-869-2837
Mailing Address - Fax:508-869-0023
Practice Address - Street 1:215 MAIN ST
Practice Address - Street 2:
Practice Address - City:BOYLSTON
Practice Address - State:MA
Practice Address - Zip Code:01505-2023
Practice Address - Country:US
Practice Address - Phone:508-869-2837
Practice Address - Fax:508-869-0023
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
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
1951629OtherMASSHEALTH PROVIDER NUM