Provider Demographics
NPI:1851428304
Name:TOWN OF WEBSTER
Entity Type:Organization
Organization Name:TOWN OF WEBSTER
Other - Org Name:WEBSTER PUBLIC SCHOOL DEPARTMENT
Other - Org Type:Other Name
Authorized Official - Title/Position:ASST TO THE SUPT FOR BUSINESS
Authorized Official - Prefix:
Authorized Official - First Name:TED
Authorized Official - Middle Name:
Authorized Official - Last Name:AVLAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-943-0104
Mailing Address - Street 1:41 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:MA
Mailing Address - Zip Code:01570-2346
Mailing Address - Country:US
Mailing Address - Phone:508-943-0104
Mailing Address - Fax:508-949-2364
Practice Address - Street 1:41 E MAIN ST
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:MA
Practice Address - Zip Code:01570-2346
Practice Address - Country:US
Practice Address - Phone:508-943-0104
Practice Address - Fax:508-949-2364
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1952684Medicaid