Provider Demographics
NPI:1114133519
Name:SCHOOL ADMINISTRATIVE DISTRICT 14
Entity Type:Organization
Organization Name:SCHOOL ADMINISTRATIVE DISTRICT 14
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:DOBBINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-448-2882
Mailing Address - Street 1:31A HOULTON RD
Mailing Address - Street 2:
Mailing Address - City:DANFORTH
Mailing Address - State:ME
Mailing Address - Zip Code:04424-3138
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:31A HOULTON RD
Practice Address - Street 2:
Practice Address - City:DANFORTH
Practice Address - State:ME
Practice Address - Zip Code:04424
Practice Address - Country:US
Practice Address - Phone:207-448-2882
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-15
Last Update Date:2008-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME137800001Medicaid