Provider Demographics
NPI:1932233186
Name:FRANCIS W. PARKER CHARTER ESSENTIAL SCHOOL
Entity Type:Organization
Organization Name:FRANCIS W. PARKER CHARTER ESSENTIAL SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL EDUCATION DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROGERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-772-3293
Mailing Address - Street 1:49 ANTIETAM ST
Mailing Address - Street 2:
Mailing Address - City:DEVENS
Mailing Address - State:MA
Mailing Address - Zip Code:01434-5230
Mailing Address - Country:US
Mailing Address - Phone:978-772-3293
Mailing Address - Fax:978-772-3295
Practice Address - Street 1:49 ANTIETAM ST
Practice Address - Street 2:
Practice Address - City:DEVENS
Practice Address - State:MA
Practice Address - Zip Code:01434-5230
Practice Address - Country:US
Practice Address - Phone:978-772-3293
Practice Address - Fax:978-772-3295
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALEA#478251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1955713OtherMASSHEALTH PROVIDER NUMBE