1831306919 NPI number — TOWN OF NEW SWEDEN

Table of content: (NPI 1831306919)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1831306919 NPI number — TOWN OF NEW SWEDEN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TOWN OF NEW SWEDEN
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
NEW SWEDEN SCHOOL DEPARTMENT
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1831306919
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/16/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
843 WOODLAND CENTER RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WOODLAND
Provider Business Mailing Address State Name:
ME
Provider Business Mailing Address Postal Code:
04736-5145
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
207-498-8436
Provider Business Mailing Address Fax Number:
207-498-6349

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
113 WESTMANLAND RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW SWEDEN
Provider Business Practice Location Address State Name:
ME
Provider Business Practice Location Address Postal Code:
04762-3403
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
207-896-5541
Provider Business Practice Location Address Fax Number:
207-896-3023
Provider Enumeration Date:
05/17/2007

Additional Information

Authorized Official

Authorized Official Last Name:
HEDMAN
Authorized Official First Name:
JOHN
Authorized Official Middle Name:
E
Authorized Official Title or Position:
SUPERINTENDENT OF SCHOOLS
Authorized Official Telephone Number:
207-498-8436

Provider Taxonomy Codes

  • Taxonomy code: 251B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 432116000 , issued by the state of ( ME ) . This identifiers is of the category "MEDICAID".




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