Provider Demographics
NPI:1982825295
Name:HILLTOWN COOPERATIVE CHARTER SCHOOL
Entity Type:Organization
Organization Name:HILLTOWN COOPERATIVE CHARTER SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:AARON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-268-3421
Mailing Address - Street 1:PO BOX 147
Mailing Address - Street 2:
Mailing Address - City:HAYDENVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:01039-0147
Mailing Address - Country:US
Mailing Address - Phone:413-268-3421
Mailing Address - Fax:413-268-3185
Practice Address - Street 1:132 MAIN STREET
Practice Address - Street 2:
Practice Address - City:HAYDENVILLE
Practice Address - State:MA
Practice Address - Zip Code:01039
Practice Address - Country:US
Practice Address - Phone:413-268-3421
Practice Address - Fax:413-268-3185
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-02
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
MA1955756Medicaid