Provider Demographics
NPI:1669696860
Name:DR. FRANKLIN PERKINS SCHOOL
Entity type:Organization
Organization Name:DR. FRANKLIN PERKINS SCHOOL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ACCOUNTS RECEIVABLE
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:GUTHEIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-368-6478
Mailing Address - Street 1:971 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:MA
Mailing Address - Zip Code:01523-2569
Mailing Address - Country:US
Mailing Address - Phone:978-368-6478
Mailing Address - Fax:
Practice Address - Street 1:200 HARVARD RD
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:MA
Practice Address - Zip Code:01523-2505
Practice Address - Country:US
Practice Address - Phone:978-365-7376
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
Not Answered322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children
Not Answered251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIDF65391Medicaid
MA1948610Medicaid
NH30830455Medicaid