Provider Demographics
NPI:1851428551
Name:TOWN OF PALMER
Entity Type:Organization
Organization Name:TOWN OF PALMER
Other - Org Name:PALMER PUBLIC SCHOOLS
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR OF SPECIAL SERVICES
Authorized Official - Prefix:MR
Authorized Official - First Name:NEIL
Authorized Official - Middle Name:T
Authorized Official - Last Name:METCALF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-283-2651
Mailing Address - Street 1:24 CONVERSE ST
Mailing Address - Street 2:DEPARTMENT OF SPECIAL SERVICES
Mailing Address - City:PALMER
Mailing Address - State:MA
Mailing Address - Zip Code:01069-1786
Mailing Address - Country:US
Mailing Address - Phone:413-283-2651
Mailing Address - Fax:413-283-2622
Practice Address - Street 1:24 CONVERSE ST
Practice Address - Street 2:
Practice Address - City:PALMER
Practice Address - State:MA
Practice Address - Zip Code:01069-1786
Practice Address - Country:US
Practice Address - Phone:413-283-2651
Practice Address - Fax:413-283-2622
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1953508251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1953508Medicaid