Provider Demographics
NPI:1336277474
Name:SOUTHBRIDGE PUBLIC SCHOOL
Entity Type:Organization
Organization Name:SOUTHBRIDGE PUBLIC SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DALE
Authorized Official - Middle Name:
Authorized Official - Last Name:HANLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-764-5414
Mailing Address - Street 1:41 ELM ST
Mailing Address - Street 2:TREASURER'S OFFICE
Mailing Address - City:SOUTHBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:01550-2645
Mailing Address - Country:US
Mailing Address - Phone:508-764-5401
Mailing Address - Fax:
Practice Address - Street 1:41 ELM ST
Practice Address - Street 2:TREASURER'S OFFICE
Practice Address - City:SOUTHBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:01550-2645
Practice Address - Country:US
Practice Address - Phone:508-764-5401
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)