MEDICARE: GLOBAL LEARNING CHARTER PUBLIC SCHOOL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251300000X	Local Education Agency (LEA)

General Provider Information

NPI Number	:	1083892871
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GLOBAL LEARNING CHARTER PUBLIC SCHOOL

Provider Business Mailing Address
First Line	:	190 ASHLEY BLVD
Second Line	:
City	:	NEW BEDFORD
State	:	MA
Zip	:	02746-1752
Country	:	US
Telephone Number	:	508-991-4105
Fax Number	:	508-991-4110

Provider Business Practice Location Address
First Line	:	190 ASHLEY BLVD
Second Line	:
City	:	NEW BEDFORD
State	:	MA
Zip	:	02746-1752
Country	:	US
Telephone Number	:	508-991-4105
Fax Number	:	508-991-4110

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	DR. WARREN E BERUBE
Credential	:
Telephone Number	:	508-991-4105

Provider Enumeration Date	:	02/05/2008
Last Update Date	:	02/05/2008

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Directions to “GLOBAL LEARNING CHARTER PUBLIC SCHOOL ” Practice Location

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