Provider Demographics
NPI:1659407633
Name:WOONSOCKET EDUCATION DEPARTMENT
Entity Type:Organization
Organization Name:WOONSOCKET EDUCATION DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF ADMIN. & FINANCE
Authorized Official - Prefix:MS
Authorized Official - First Name:MIRIAM
Authorized Official - Middle Name:A
Authorized Official - Last Name:GOODMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-767-4618
Mailing Address - Street 1:108 HIGH ST
Mailing Address - Street 2:
Mailing Address - City:WOONSOCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02895-4333
Mailing Address - Country:US
Mailing Address - Phone:401-767-4600
Mailing Address - Fax:401-767-4647
Practice Address - Street 1:108 HIGH ST
Practice Address - Street 2:
Practice Address - City:WOONSOCKET
Practice Address - State:RI
Practice Address - Zip Code:02895-4333
Practice Address - Country:US
Practice Address - Phone:401-767-4600
Practice Address - Fax:401-767-4647
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIWE02672Medicaid