Provider Demographics
NPI:1043423643
Name:TOWN OF GREENBUSH
Entity Type:Organization
Organization Name:TOWN OF GREENBUSH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT OF SCHOOLS
Authorized Official - Prefix:MR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-827-8061
Mailing Address - Street 1:78 MAIN RD
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:ME
Mailing Address - Zip Code:04461-3605
Mailing Address - Country:US
Mailing Address - Phone:207-827-8061
Mailing Address - Fax:207-827-1513
Practice Address - Street 1:78 MAIN RD
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:ME
Practice Address - Zip Code:04461-3605
Practice Address - Country:US
Practice Address - Phone:207-827-8061
Practice Address - Fax:207-827-1513
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-08
Last Update Date:2008-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)