Provider Demographics
NPI:1447479944
Name:MENDON UPTON SCHOOL DISTRICT
Entity type:Organization
Organization Name:MENDON UPTON SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTONIO
Authorized Official - Middle Name:J
Authorized Official - Last Name:FERNANDES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-634-1585
Mailing Address - Street 1:90 PLEASANT ST
Mailing Address - Street 2:
Mailing Address - City:UPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01568-1453
Mailing Address - Country:US
Mailing Address - Phone:508-529-2130
Mailing Address - Fax:508-529-2143
Practice Address - Street 1:150 NORTH AVE
Practice Address - Street 2:
Practice Address - City:MENDON
Practice Address - State:MA
Practice Address - Zip Code:01756-1011
Practice Address - Country:US
Practice Address - Phone:508-634-1585
Practice Address - Fax:508-634-1582
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Multi-Specialty