Provider Demographics
NPI:1306967039
Name:ROCKPORT PUBLIC SCHOOLS
Entity type:Organization
Organization Name:ROCKPORT PUBLIC SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROSEMARY
Authorized Official - Middle Name:
Authorized Official - Last Name:DITULLIO
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:978-546-1200
Mailing Address - Street 1:24 JERDENS LN
Mailing Address - Street 2:
Mailing Address - City:ROCKPORT
Mailing Address - State:MA
Mailing Address - Zip Code:01966-2159
Mailing Address - Country:US
Mailing Address - Phone:978-546-1200
Mailing Address - Fax:
Practice Address - Street 1:24 JERDENS LN
Practice Address - Street 2:
Practice Address - City:ROCKPORT
Practice Address - State:MA
Practice Address - Zip Code:01966-2159
Practice Address - Country:US
Practice Address - Phone:978-546-1200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TOWN OF ROCKPORT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-04-02
Last Update Date:2010-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1952471Medicaid