Provider Demographics
NPI:1164638425
Name:TOWN OF WOODLAND
Entity Type:Organization
Organization Name:TOWN OF WOODLAND
Other - Org Name:WOODLAND SCHOOL DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SUPERINTENDENT OF SCHOOLS
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:E
Authorized Official - Last Name:HEDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-498-8436
Mailing Address - Street 1:843 WOODLAND CENTER RD
Mailing Address - Street 2:
Mailing Address - City:WOODLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04736-5145
Mailing Address - Country:US
Mailing Address - Phone:207-498-8436
Mailing Address - Fax:207-498-6349
Practice Address - Street 1:844 WOODLAND CENTER RD
Practice Address - Street 2:
Practice Address - City:WOODLAND
Practice Address - State:ME
Practice Address - Zip Code:04736-5156
Practice Address - Country:US
Practice Address - Phone:207-496-2981
Practice Address - Fax:207-496-6913
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-15
Last Update Date:2008-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME432115800Medicaid