Provider Demographics
NPI:1184833196
Name:TOWN OF WHITING
Entity Type:Organization
Organization Name:TOWN OF WHITING
Other - Org Name:UNION 134 WHITING SCHOOL DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-255-6585
Mailing Address - Street 1:2066 CUTLER RD
Mailing Address - Street 2:
Mailing Address - City:CUTLER
Mailing Address - State:ME
Mailing Address - Zip Code:04626-3021
Mailing Address - Country:US
Mailing Address - Phone:207-251-3357
Mailing Address - Fax:
Practice Address - Street 1:2066 CUTLER RD
Practice Address - Street 2:
Practice Address - City:CUTLER
Practice Address - State:ME
Practice Address - Zip Code:04626-3021
Practice Address - Country:US
Practice Address - Phone:207-251-3357
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2008-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME432363400Medicaid