Provider Demographics
NPI:1396865598
Name:CITY OF PEABODY
Entity Type:Organization
Organization Name:CITY OF PEABODY
Other - Org Name:PEABODY PUBLIC SCHOOLS
Other - Org Type:Other Name
Authorized Official - Title/Position:SCHOOL BUSINESS MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOESPH
Authorized Official - Middle Name:
Authorized Official - Last Name:SCANLON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-531-1600
Mailing Address - Street 1:27 LOWELL ST
Mailing Address - Street 2:
Mailing Address - City:PEABODY
Mailing Address - State:MA
Mailing Address - Zip Code:01960
Mailing Address - Country:US
Mailing Address - Phone:978-531-1600
Mailing Address - Fax:978-536-6522
Practice Address - Street 1:27 LOWELL ST
Practice Address - Street 2:
Practice Address - City:PEABODY
Practice Address - State:MA
Practice Address - Zip Code:01960
Practice Address - Country:US
Practice Address - Phone:978-531-1600
Practice Address - Fax:978-536-6522
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-30
Last Update Date:2021-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1950037Medicaid