1124176250 NPI number — REGIONAL SCHOOL UNIT NO 38

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1124176250 NPI number — REGIONAL SCHOOL UNIT NO 38

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
REGIONAL SCHOOL UNIT NO 38
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:
MARANACOOK AREA SCHOOLS, MARANACOOK STUDENT HEALTH CENTER
Provider Other Organization Name Type Code:
5
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:
1124176250
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/20/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
45 MILLARD HARRISON DR
Provider Second Line Business Mailing Address:
STUDENT HEALTH CENTER
Provider Business Mailing Address City Name:
READFIELD
Provider Business Mailing Address State Name:
ME
Provider Business Mailing Address Postal Code:
04355-3573
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
207-685-4923
Provider Business Mailing Address Fax Number:
207-685-9597

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
45 MILLARD HARRISON DR
Provider Second Line Business Practice Location Address:
STUDENT HEALTH CENTER
Provider Business Practice Location Address City Name:
READFIELD
Provider Business Practice Location Address State Name:
ME
Provider Business Practice Location Address Postal Code:
04355-3573
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
207-685-4923
Provider Business Practice Location Address Fax Number:
207-685-9597
Provider Enumeration Date:
01/08/2007

Additional Information

Authorized Official

Authorized Official Last Name:
ABRAMSON
Authorized Official First Name:
RICHARD
Authorized Official Middle Name:
A
Authorized Official Title or Position:
SUPERINTENDENT
Authorized Official Telephone Number:
207-685-4923

Provider Taxonomy Codes

  • Taxonomy code: 261QS1000X , with the licence number:  NONE , registered in the state of ME ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 105990300 , issued by the state of ( ME ) . This identifiers is of the category "MEDICAID".




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