Provider Demographics
NPI:1730206764
Name:TOWN OF PLAINVILLE
Entity type:Organization
Organization Name:TOWN OF PLAINVILLE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT OF SCHOOLS
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:RAICHE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-699-1300
Mailing Address - Street 1:142 SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:PLAINVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02762-1917
Mailing Address - Country:US
Mailing Address - Phone:508-699-1300
Mailing Address - Fax:508-699-1311
Practice Address - Street 1:68 MESSENGER ST
Practice Address - Street 2:
Practice Address - City:PLAINVILLE
Practice Address - State:MA
Practice Address - Zip Code:02762-2259
Practice Address - Country:US
Practice Address - Phone:508-699-1300
Practice Address - Fax:508-699-1311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1953753Medicaid