Provider Demographics
NPI:1235359316
Name:MSAD #39
Entity Type:Organization
Organization Name:MSAD #39
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT OF SCHOOLS
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:COLPITTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-336-3456
Mailing Address - Street 1:PO BOX 190
Mailing Address - Street 2:
Mailing Address - City:BUCKFIELD
Mailing Address - State:ME
Mailing Address - Zip Code:04220-0190
Mailing Address - Country:US
Mailing Address - Phone:207-336-3456
Mailing Address - Fax:207-336-2417
Practice Address - Street 1:34 TURNER STREET
Practice Address - Street 2:
Practice Address - City:BUCKFIELD
Practice Address - State:ME
Practice Address - Zip Code:04220
Practice Address - Country:US
Practice Address - Phone:207-336-3456
Practice Address - Fax:207-336-2417
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME251C00000XMedicaid
ME251B00000XMedicaid