Organization Active NPI

Four Rivers Charter Public School

  • Local Education Agency (LEA)
  • Greenfield, MA
National Provider Identifier
1376677286
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
License
NA Issued in MA
Legal business name
FOUR RIVERS CHARTER PUBLIC SCHOOL
Practice address
248 Colrain Rd
Greenfield, MA 01301-9701
Phone
(413) 775-4577
Fax
(413) 775-4578
NPI assigned
Mar 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Harlan James Smith
Title
Director of Operations
Phone
(413) 775-4577

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X NA MA Primary

Addresses

Primary practice location

248 Colrain Rd
Greenfield, MA 01301-9701

Mailing address

248 Colrain Rd
Greenfield, MA 01301-9701
Phone (413) 775-4577

Other identifiers 1

IdentifierTypeStateIssuer
1955900MedicaidMA

National Provider Directory

National Provider Directory

Locations

248 Colrain Rd
Greenfield, MA 01301
Phone (413) 775-4577

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376677286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 COLRAIN RD",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013019701",
            "telephone_number": "413-775-4577",
            "fax_number": "413-775-4578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 COLRAIN RD",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013019701",
            "telephone_number": "413-775-4577",
            "fax_number": "413-775-4578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR RIVERS CHARTER PUBLIC SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "HARLAN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "413-775-4577"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "MA",
            "license": "NA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1955900",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.