Provider Demographics
NPI:1447391875
Name:CRANSTON ARC
Entity Type:Organization
Organization Name:CRANSTON ARC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCIAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:I
Authorized Official - Last Name:COPPAGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-941-1112
Mailing Address - Street 1:111 COMSTOCK PKWY
Mailing Address - Street 2:
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02921-2002
Mailing Address - Country:US
Mailing Address - Phone:401-941-1112
Mailing Address - Fax:401-941-2516
Practice Address - Street 1:665 DYER AVE
Practice Address - Street 2:
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02920-6900
Practice Address - Country:US
Practice Address - Phone:401-942-2388
Practice Address - Fax:401-944-7480
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-09
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
RICS31558OtherEDS PROVIDER NUMBER