Provider Demographics
NPI:1508984220
Name:ATHOL ROYALSTON REGIONAL SCHOOL DISTRICT
Entity Type:Organization
Organization Name:ATHOL ROYALSTON REGIONAL SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:T
Authorized Official - Last Name:POLITO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-249-2400
Mailing Address - Street 1:PO BOX 968
Mailing Address - Street 2:
Mailing Address - City:ATHOL
Mailing Address - State:MA
Mailing Address - Zip Code:01331-0968
Mailing Address - Country:US
Mailing Address - Phone:978-249-2400
Mailing Address - Fax:978-249-2402
Practice Address - Street 1:1062 PLEASANT ST
Practice Address - Street 2:
Practice Address - City:ATHOL
Practice Address - State:MA
Practice Address - Zip Code:01331-0968
Practice Address - Country:US
Practice Address - Phone:978-249-2400
Practice Address - Fax:978-249-2402
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
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
MA1950959Medicaid