Provider Demographics
NPI:1750443107
Name:MANSFIELD PUBLIC SCHOOLS
Entity Type:Organization
Organization Name:MANSFIELD PUBLIC SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAID SPECIALIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARCIA
Authorized Official - Middle Name:
Authorized Official - Last Name:HEALEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-261-7500
Mailing Address - Street 1:2 PARK ROW
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:02048-2433
Mailing Address - Country:US
Mailing Address - Phone:508-261-7500
Mailing Address - Fax:508-261-7509
Practice Address - Street 1:2 PARK ROW
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:MA
Practice Address - Zip Code:02048-2433
Practice Address - Country:US
Practice Address - Phone:508-261-7500
Practice Address - Fax:508-261-7509
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)