Provider Demographics
NPI:1205954724
Name:TOWN OF DRACUT DBA/DRACUT PUBLIC SCHOOLS
Entity type:Organization
Organization Name:TOWN OF DRACUT DBA/DRACUT PUBLIC SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SCHOOL BUSINESS ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:L
Authorized Official - Last Name:WIGGIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-957-5583
Mailing Address - Street 1:2063 LAKEVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:DRACUT
Mailing Address - State:MA
Mailing Address - Zip Code:01826-3005
Mailing Address - Country:US
Mailing Address - Phone:978-957-5583
Mailing Address - Fax:978-957-0547
Practice Address - Street 1:2063 LAKEVIEW AVE
Practice Address - Street 2:
Practice Address - City:DRACUT
Practice Address - State:MA
Practice Address - Zip Code:01826-3005
Practice Address - Country:US
Practice Address - Phone:978-957-5583
Practice Address - Fax:978-957-0547
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-26
Last Update Date:2008-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1952056Medicaid