Provider Demographics
NPI:1790809044
Name:TOWN OF PLYMPTON
Entity Type:Organization
Organization Name:TOWN OF PLYMPTON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF BUSINESS SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:TUFFY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-585-4313
Mailing Address - Street 1:250 PEMBROKE ST
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02364-1066
Mailing Address - Country:US
Mailing Address - Phone:781-585-4313
Mailing Address - Fax:
Practice Address - Street 1:250 PEMBROKE ST
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:MA
Practice Address - Zip Code:02364-1066
Practice Address - Country:US
Practice Address - Phone:781-585-4313
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1951858Medicaid