Provider Demographics
NPI:1528198082
Name:WHITTIER REGIONAL VOCATIONAL TECHNICAL HIGH SCHOOL DISTRICT
Entity Type:Organization
Organization Name:WHITTIER REGIONAL VOCATIONAL TECHNICAL HIGH SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:SARKISIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-373-4101
Mailing Address - Street 1:115 AMESBURY LINE RD
Mailing Address - Street 2:
Mailing Address - City:HAVERHILL
Mailing Address - State:MA
Mailing Address - Zip Code:01830-1809
Mailing Address - Country:US
Mailing Address - Phone:978-373-4101
Mailing Address - Fax:
Practice Address - Street 1:115 AMESBURY LINE RD
Practice Address - Street 2:
Practice Address - City:HAVERHILL
Practice Address - State:MA
Practice Address - Zip Code:01830-1809
Practice Address - Country:US
Practice Address - Phone:978-373-4101
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1950614Medicaid