Provider Demographics
NPI:1710019195
Name:GEORGETOWN PUBLIC SCHOOLS
Entity Type:Organization
Organization Name:GEORGETOWN PUBLIC SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:JACOBS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-352-5777
Mailing Address - Street 1:51 NORTH ST
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:MA
Mailing Address - Zip Code:01833-1602
Mailing Address - Country:US
Mailing Address - Phone:978-356-5777
Mailing Address - Fax:
Practice Address - Street 1:51 NORTH ST
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:MA
Practice Address - Zip Code:01833-1602
Practice Address - Country:US
Practice Address - Phone:978-356-5777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TOWN OF GEORGETOWN
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-03-12
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1950983Medicaid