1891917498 NPI number — LITCHFIELD SCHOOL DEPARTMENT

Table of content: (NPI 1891917498)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1891917498 NPI number — LITCHFIELD SCHOOL DEPARTMENT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LITCHFIELD SCHOOL DEPARTMENT
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:
SCHOOL UNION 44
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:
1891917498
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
971 GARDINER ROAD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SABATTUS
Provider Business Mailing Address State Name:
ME
Provider Business Mailing Address Postal Code:
04280
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
207-375-4273
Provider Business Mailing Address Fax Number:
207-375-2522

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
ROUTE 197
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LITCHFIELD
Provider Business Practice Location Address State Name:
ME
Provider Business Practice Location Address Postal Code:
04350
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
207-268-4136
Provider Business Practice Location Address Fax Number:
207-268-4318
Provider Enumeration Date:
05/03/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
HODGDON
Authorized Official First Name:
SUSAN
Authorized Official Middle Name:
Authorized Official Title or Position:
SUPERINTENDENT
Authorized Official Telephone Number:
207-375-4273

Provider Taxonomy Codes

  • Taxonomy code: 251300000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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