Provider Demographics
NPI:1679663066
Name:EAST HADDAM PUBLIC SCHOOLS
Entity Type:Organization
Organization Name:EAST HADDAM PUBLIC SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:T
Authorized Official - Last Name:CARROLL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-873-5090
Mailing Address - Street 1:26 PLAINS RD
Mailing Address - Street 2:P.O. BOX 401
Mailing Address - City:MOODUS
Mailing Address - State:CT
Mailing Address - Zip Code:06469
Mailing Address - Country:US
Mailing Address - Phone:860-873-5090
Mailing Address - Fax:860-873-5092
Practice Address - Street 1:26 PLAINS RD
Practice Address - Street 2:
Practice Address - City:MOODUS
Practice Address - State:CT
Practice Address - Zip Code:06469
Practice Address - Country:US
Practice Address - Phone:860-873-5090
Practice Address - Fax:860-873-5092
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)