Provider Demographics
NPI:1710013677
Name:TOWN OF FOXBOROUGH
Entity Type:Organization
Organization Name:TOWN OF FOXBOROUGH
Other - Org Name:FOXBOROUGH PUBLIC SCHOOLS
Other - Org Type:Other Name
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:BERDOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-543-1665
Mailing Address - Street 1:60 SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:FOXBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02035-2317
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:60 SOUTH ST
Practice Address - Street 2:
Practice Address - City:FOXBORO
Practice Address - State:MA
Practice Address - Zip Code:02035-2317
Practice Address - Country:US
Practice Address - Phone:508-543-1660
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-26
Last Update Date:2021-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110030682CMedicaid