Provider Demographics
NPI:1639389901
Name:TOWN OF HARWICH
Entity Type:Organization
Organization Name:TOWN OF HARWICH
Other - Org Name:HARWICH PUBLIC SCHOOLS
Other - Org Type:Other Name
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:L
Authorized Official - Last Name:COSTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-430-7204
Mailing Address - Street 1:81 OAK ST
Mailing Address - Street 2:
Mailing Address - City:HARWICH
Mailing Address - State:MA
Mailing Address - Zip Code:02645-2701
Mailing Address - Country:US
Mailing Address - Phone:508-430-7204
Mailing Address - Fax:508-430-7205
Practice Address - Street 1:81 OAK ST
Practice Address - Street 2:
Practice Address - City:HARWICH
Practice Address - State:MA
Practice Address - Zip Code:02645-2701
Practice Address - Country:US
Practice Address - Phone:508-430-7204
Practice Address - Fax:508-430-7205
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-23
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1952331Medicare ID - Type Unspecified