=====================================================
General NPI Number Information
=====================================================
NPI Number | 1194842377
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NORTH MIDDLESEX REGIONAL SCHOOL DISTRICT
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/23/2007
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 23 MAIN ST
-----------------------------------------------------
City | TOWNSEND
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 01469-1356
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 978-597-6302
-----------------------------------------------------
Fax | 978-597-6534
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 23 MAIN ST
-----------------------------------------------------
City | TOWNSEND
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 01469-1356
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 978-597-6302
-----------------------------------------------------
Fax | 978-597-6534
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | BUSINESS MANAGER
-----------------------------------------------------
Name | MR. GERALD P. MARTIN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 978-597-6302
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251300000X
-----------------------------------------------------
Taxonomy Name | Local Education Agency (LEA)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | MA
-----------------------------------------------------