Provider Demographics
NPI:1457577959
Name:SHIRLEY SCHOOL DISTRICT
Entity Type:Organization
Organization Name:SHIRLEY SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OFFICE COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:
Authorized Official - Last Name:HERREROS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-425-2630
Mailing Address - Street 1:34 LANCASTER RD
Mailing Address - Street 2:
Mailing Address - City:SHIRLEY
Mailing Address - State:MA
Mailing Address - Zip Code:01464-2412
Mailing Address - Country:US
Mailing Address - Phone:978-425-2630
Mailing Address - Fax:978-425-2640
Practice Address - Street 1:34 LANCASTER RD
Practice Address - Street 2:
Practice Address - City:SHIRLEY
Practice Address - State:MA
Practice Address - Zip Code:01464-2412
Practice Address - Country:US
Practice Address - Phone:978-425-2630
Practice Address - Fax:978-425-2640
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TOWN OF SHIRLEY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-04-17
Last Update Date:2008-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1953265Medicare ID - Type UnspecifiedMASS HEALTH