Provider Demographics
NPI:1982899308
Name:BRISTOL WARREN REGIONAL SCHOOL DISTRICT
Entity Type:Organization
Organization Name:BRISTOL WARREN REGIONAL SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSITNAT DIRECTOR, PPS
Authorized Official - Prefix:MS
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:J
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-253-4000
Mailing Address - Street 1:151 STATE ST
Mailing Address - Street 2:OLIVER BLDG.
Mailing Address - City:BRISTOL
Mailing Address - State:RI
Mailing Address - Zip Code:02809-2205
Mailing Address - Country:US
Mailing Address - Phone:401-253-4000
Mailing Address - Fax:401-254-0829
Practice Address - Street 1:151 STATE ST
Practice Address - Street 2:OLIVER BLDG.
Practice Address - City:BRISTOL
Practice Address - State:RI
Practice Address - Zip Code:02809-2205
Practice Address - Country:US
Practice Address - Phone:401-253-4000
Practice Address - Fax:401-254-0829
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-10
Last Update Date:2007-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIBW11938OtherLEA MEDICAID NUMBER