Healthcare Provider Details

I. General information

NPI: 1144361007
Provider Name (Legal Business Name): BURRILLVILLE SCHOOL DEPARTMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2007
Last Update Date: 10/30/2025
Certification Date: 10/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2220 BRONCOS HWY
HARRISVILLE RI
02830-1628
US

IV. Provider business mailing address

2300 BRONCOS HIGHWAY
HARRISVILLE RI
02830
US

V. Phone/Fax

Practice location:
  • Phone: 401-568-1307
  • Fax: 401-568-1306
Mailing address:
  • Phone: 401-568-1307
  • Fax: 401-568-1306

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State

VIII. Authorized Official

Name: ROBIN KIMATIAN
Title or Position: BUSINESS MANAGER
Credential:
Phone: 401-568-1309