Provider Demographics
NPI:1942326426
Name:TOWN OF DARTMOUTH
Entity Type:Organization
Organization Name:TOWN OF DARTMOUTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SCHOOL BUSINESS MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:MANUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CORDEIRO
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:781-986-1785
Mailing Address - Street 1:8 BUSH ST
Mailing Address - Street 2:
Mailing Address - City:DARTMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02748-3102
Mailing Address - Country:US
Mailing Address - Phone:508-997-3391
Mailing Address - Fax:508-991-4184
Practice Address - Street 1:8 BUSH ST
Practice Address - Street 2:
Practice Address - City:DARTMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02748-3102
Practice Address - Country:US
Practice Address - Phone:508-997-3391
Practice Address - Fax:508-991-4184
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
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
MA1951807Medicaid