Provider Demographics
NPI:1467582015
Name:NORTHEAST METROPOLITAN REGIONAL VOCATIONAL SCHOOL DISTRICT
Entity Type:Organization
Organization Name:NORTHEAST METROPOLITAN REGIONAL VOCATIONAL SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CRONIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-246-0810
Mailing Address - Street 1:100 HEMLOCK RD
Mailing Address - Street 2:
Mailing Address - City:WAKEFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01880-3568
Mailing Address - Country:US
Mailing Address - Phone:781-246-0810
Mailing Address - Fax:781-246-4919
Practice Address - Street 1:100 HEMLOCK RD
Practice Address - Street 2:
Practice Address - City:WAKEFIELD
Practice Address - State:MA
Practice Address - Zip Code:01880-3568
Practice Address - Country:US
Practice Address - Phone:781-246-0810
Practice Address - Fax:781-246-4919
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1953117Medicaid