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ABBY KELLEY FOSTER CHARTER PUBLIC SCHOOL NPI 1912022625


NPI Information

NPI: 1912022625
Provider Name: ABBY KELLEY FOSTER CHARTER PUBLIC SCHOOL
Classification: Local Education Agency (LEA) - 251300000X
Entity Type: Organization

CLIA Number: 22D2300391

Address:
10 NEW BOND ST
WORCESTER, MA
ZIP 01606
Phone: (508) 854-8400
Get Directions

ABBY KELLEY FOSTER CHARTER PUBLIC SCHOOL is a local education agency lea in Worcester, MA. The provider is the term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy. ABBY KELLEY FOSTER CHARTER PUBLIC SCHOOL NPI is 1912022625. The provider is registered as an organization entity type.

The provider's business location address is:

10 NEW BOND ST
WORCESTER, MA
ZIP 01606-699
Phone: (508) 854-8400
Fax: (508) 854-8484

The provider's authorized official is Dianne Bonaventura .
The authorized official title is Business Manager and has the following contact phone number (508) 854-8400.

The CLIA number assigned to this NPI record is 22D2300391 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/20/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251300000XLocal Education Agency (LEA)MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11955781MEDICAIDMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.