Provider Demographics
NPI:1992835995
Name:BRISTOL-PLYMOUTH REGIONAL TECHNICAL SCHOOL
Entity Type:Organization
Organization Name:BRISTOL-PLYMOUTH REGIONAL TECHNICAL SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASST. SUP. FOR PERSONNEL & FINANCE
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:FRIAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-823-5151
Mailing Address - Street 1:940 COUNTY ST
Mailing Address - Street 2:
Mailing Address - City:TAUNTON
Mailing Address - State:MA
Mailing Address - Zip Code:02780-6946
Mailing Address - Country:US
Mailing Address - Phone:508-823-5151
Mailing Address - Fax:508-823-4935
Practice Address - Street 1:940 COUNTY ST
Practice Address - Street 2:
Practice Address - City:TAUNTON
Practice Address - State:MA
Practice Address - Zip Code:02780-6946
Practice Address - Country:US
Practice Address - Phone:508-823-5151
Practice Address - Fax:508-823-4935
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
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
MA1953761Medicaid