Provider Demographics
NPI:1386774875
Name:TOWN OF SANDWICH
Entity type:Organization
Organization Name:TOWN OF SANDWICH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT OF SCHOOLS
Authorized Official - Prefix:DR
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-888-1054
Mailing Address - Street 1:16 DEWEY AVE
Mailing Address - Street 2:CLARK HADDAD BLDG.
Mailing Address - City:SANDWICH
Mailing Address - State:MA
Mailing Address - Zip Code:02563-2036
Mailing Address - Country:US
Mailing Address - Phone:508-888-1054
Mailing Address - Fax:508-833-8023
Practice Address - Street 1:16 DEWEY AVE
Practice Address - Street 2:CLARK HADDAD BLDG.
Practice Address - City:SANDWICH
Practice Address - State:MA
Practice Address - Zip Code:02563-2036
Practice Address - Country:US
Practice Address - Phone:508-888-1054
Practice Address - Fax:508-833-8023
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1951491Medicaid