Organization Active NPI

Town of Southborough

  • Local Education Agency (LEA)
  • Southborough, MA
National Provider Identifier
1285752394
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
License
251300000X Issued in MA
Legal business name
TOWN OF SOUTHBOROUGH
Practice address
17 Common St
Southborough, MA 01772-1663
Phone
(508) 486-5115
Fax
(508) 486-5123
NPI assigned
Mar 27, 2007
Last updated
Jul 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Cheryl Levesque
Title
Business Director
Phone
(508) 486-5115

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X 251300000X MA Primary
Case Management Agency 251B00000X 251B00000X MA

Addresses

Primary practice location

17 Common St
Southborough, MA 01772-1663

Mailing address

17 Common St
Southborough, MA 01772-1663
Phone (508) 486-5115

Other identifiers 1

IdentifierTypeStateIssuer
1950444MedicaidMA

National Provider Directory

National Provider Directory
Tax ID family
Southborough Board of Health3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

17 Common St
Southborough, MA 01772
Phone (508) 485-3235

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1285752394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 COMMON ST",
            "city": "SOUTHBOROUGH",
            "state": "MA",
            "postal_code": "017721663",
            "telephone_number": "508-486-5115",
            "fax_number": "508-486-5123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 COMMON ST",
            "city": "SOUTHBOROUGH",
            "state": "MA",
            "postal_code": "017721663",
            "telephone_number": "508-486-5115",
            "fax_number": "508-486-5123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF SOUTHBOROUGH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "LEVESQUE",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "BUSINESS DIRECTOR",
        "authorized_official_telephone_number": "508-486-5115",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "MA",
            "license": "251300000X",
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MA",
            "license": "251B00000X",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1950444",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.