Provider Demographics
NPI:1639380157
Name:LEE PUBLIC SCHOOLS
Entity Type:Organization
Organization Name:LEE PUBLIC SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCANDLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-243-0276
Mailing Address - Street 1:300 GREYLOCK ST
Mailing Address - Street 2:
Mailing Address - City:LEE
Mailing Address - State:MA
Mailing Address - Zip Code:01238-9248
Mailing Address - Country:US
Mailing Address - Phone:413-243-0276
Mailing Address - Fax:
Practice Address - Street 1:300 GREYLOCK ST
Practice Address - Street 2:
Practice Address - City:LEE
Practice Address - State:MA
Practice Address - Zip Code:01238-9248
Practice Address - Country:US
Practice Address - Phone:413-243-0276
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-25
Last Update Date:2008-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1950657Medicaid