Organization Active NPI

Southbridge Public Schools

  • Local Education Agency (LEA)
  • Southbridge, MA
National Provider Identifier
1700916798
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
SOUTHBRIDGE PUBLIC SCHOOLS
Practice address
41 Elm St
Southbridge, MA 01550-2645
Phone
(508) 764-5414
NPI assigned
Mar 7, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Susan Jackin
Title
Administration
Phone
(508) 764-5414

Specialties & licenses 1

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

Addresses

Primary practice location

41 Elm St
Southbridge, MA 01550-2645

Mailing address

41 Elm St
Southbridge, MA 01550-2645
Phone (508) 764-5414

Other identifiers 1

IdentifierTypeStateIssuer
1951653MedicaidMA

National Provider Directory

National Provider Directory
Tax ID family
Southbridge Fire Department3 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

41 Elm St
Southbridge, MA 01550
Phone (508) 764-5414

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700916798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 ELM ST",
            "city": "SOUTHBRIDGE",
            "state": "MA",
            "postal_code": "015502645",
            "telephone_number": "508-764-5414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 ELM ST",
            "city": "SOUTHBRIDGE",
            "state": "MA",
            "postal_code": "015502645",
            "telephone_number": "508-764-5414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHBRIDGE PUBLIC SCHOOLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACKIN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "508-764-5414"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1951653",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southbridge, 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.