Provider Demographics
NPI:1902936537
Name:TOWN OF CHATHAM
Entity Type:Organization
Organization Name:TOWN OF CHATHAM
Other - Org Name:CHATHAM PUBLIC SCHOOLS
Other - Org Type:Other Name
Authorized Official - Title/Position:SUPERINTENDENT OF SCHOOLS
Authorized Official - Prefix:DR
Authorized Official - First Name:MARY ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:LANZO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-945-5130
Mailing Address - Street 1:425 CROWELL RD
Mailing Address - Street 2:
Mailing Address - City:CHATHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02633-1969
Mailing Address - Country:US
Mailing Address - Phone:508-945-5130
Mailing Address - Fax:508-945-5133
Practice Address - Street 1:425 CROWELL RD
Practice Address - Street 2:
Practice Address - City:CHATHAM
Practice Address - State:MA
Practice Address - Zip Code:02633-1969
Practice Address - Country:US
Practice Address - Phone:508-945-5130
Practice Address - Fax:508-945-5133
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
MA1952498Medicaid