Active NPI
Town of Windham Board of Education
- Local Education Agency (LEA)
- Willimantic, CT
National Provider Identifier
1457435927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Local Education Agency (LEA)
- Legal business name
- TOWN OF WINDHAM BOARD OF EDUCATION
- Practice address
- 322 Prospect St
Willimantic, CT 06226-2208 - Phone
- (860) 465-2512
- Fax
- (860) 465-2316
- NPI assigned
- Oct 24, 2006
- Last updated
- Jun 19, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jeffrey Forman
- Title
- Director of Special Services
- Phone
- (860) 465-2512
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Local Education Agency (LEA) | 251300000X | Primary |
Addresses
Primary practice location
322 Prospect St
Willimantic, CT 06226-2208
Mailing address
322 Prospect St
Willimantic, CT 06226-2208
Phone (860) 465-2512
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004194651 | Medicaid | CT |
National Provider Directory
National Provider DirectoryLocations
322 Prospect St
Willimantic, CT 06226
Phone (860) 465-2512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213833600000",
"number": "1457435927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "322 PROSPECT ST",
"city": "WILLIMANTIC",
"state": "CT",
"postal_code": "062262208",
"telephone_number": "860-465-2512",
"fax_number": "860-465-2316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "322 PROSPECT ST",
"city": "WILLIMANTIC",
"state": "CT",
"postal_code": "062262208",
"telephone_number": "860-465-2512",
"fax_number": "860-465-2316"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWN OF WINDHAM BOARD OF EDUCATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-24",
"last_updated": "2008-06-19",
"status": "A",
"authorized_official_last_name": "FORMAN",
"authorized_official_first_name": "JEFFREY",
"authorized_official_title_or_position": "DIRECTOR OF SPECIAL SERVICES",
"authorized_official_telephone_number": "860-465-2512",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251300000X",
"taxonomy_group": "",
"desc": "Local Education Agency (LEA)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004194651",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Willimantic, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.