Provider Demographics
NPI:1477795185
Name:SCHOOL ONE
Entity Type:Organization
Organization Name:SCHOOL ONE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ELEANOR
Authorized Official - Middle Name:ALAYNE
Authorized Official - Last Name:TODD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-331-2497
Mailing Address - Street 1:220 UNIVERSITY AVE
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02906-5434
Mailing Address - Country:US
Mailing Address - Phone:401-331-2497
Mailing Address - Fax:401-421-8869
Practice Address - Street 1:220 UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02906-5434
Practice Address - Country:US
Practice Address - Phone:401-331-2497
Practice Address - Fax:401-421-8869
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-26
Last Update Date:2009-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
RISO26400Medicaid