Provider Demographics
NPI:1073678892
Name:HARTFORD BOARD OF EDUCATION
Entity type:Organization
Organization Name:HARTFORD BOARD OF EDUCATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:J
Authorized Official - Last Name:ADAMOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:860-695-8000
Mailing Address - Street 1:960 MAIN ST
Mailing Address - Street 2:HARTFORD BOARD OF EDUCATION
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06103-1224
Mailing Address - Country:US
Mailing Address - Phone:860-695-8000
Mailing Address - Fax:
Practice Address - Street 1:960 MAIN ST
Practice Address - Street 2:HARTFORD BOARD OF EDUCATION
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06103-1224
Practice Address - Country:US
Practice Address - Phone:860-695-8000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-22
Last Update Date:2012-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT004053930251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT004053930Medicaid