Provider Demographics
NPI:1275744732
Name:SCHOOL ADMINSITRATIVE DISTRICT NO41
Entity Type:Organization
Organization Name:SCHOOL ADMINSITRATIVE DISTRICT NO41
Other - Org Name:SCHOOL ADMINISTRATIVE DISTRICT NO41
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SUPERINTENDENT OF SCHOOLS
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHIRLEY
Authorized Official - Middle Name:N
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-943-7317
Mailing Address - Street 1:37 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MILO
Mailing Address - State:ME
Mailing Address - Zip Code:04463-1053
Mailing Address - Country:US
Mailing Address - Phone:207-943-5629
Mailing Address - Fax:207-943-5338
Practice Address - Street 1:37 W MAIN ST
Practice Address - Street 2:
Practice Address - City:MILO
Practice Address - State:ME
Practice Address - Zip Code:04463-1053
Practice Address - Country:US
Practice Address - Phone:207-943-5629
Practice Address - Fax:207-943-5338
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-25
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME103590001Medicaid