Provider Demographics
NPI:1164750345
Name:PENOBSCOT ELEMENTARY SCHOOL
Entity Type:Organization
Organization Name:PENOBSCOT ELEMENTARY SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SPECIAL EDUCATION
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:PEER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-374-5609
Mailing Address - Street 1:PO BOX 630
Mailing Address - Street 2:
Mailing Address - City:BLUE HILL
Mailing Address - State:ME
Mailing Address - Zip Code:04614-0630
Mailing Address - Country:US
Mailing Address - Phone:207-374-5609
Mailing Address - Fax:207-374-2951
Practice Address - Street 1:NUMBER 10, ROUTE 199
Practice Address - Street 2:
Practice Address - City:PENOBSCOT
Practice Address - State:ME
Practice Address - Zip Code:04476
Practice Address - Country:US
Practice Address - Phone:207-326-9421
Practice Address - Fax:207-326-9422
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-25
Last Update Date:2009-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)