Provider Demographics
NPI:1376879924
Name:R.S.U. #9
Entity Type:Organization
Organization Name:R.S.U. #9
Other - Org Name:MT. BLUE REGIONAL SCHOOL DISTRICT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CORMIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-778-6571
Mailing Address - Street 1:115 LEARNING LN
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:ME
Mailing Address - Zip Code:04938-7039
Mailing Address - Country:US
Mailing Address - Phone:207-778-6571
Mailing Address - Fax:207-778-4160
Practice Address - Street 1:115 LEARNING LN
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:ME
Practice Address - Zip Code:04938-7039
Practice Address - Country:US
Practice Address - Phone:207-778-6571
Practice Address - Fax:207-778-4160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-02
Last Update Date:2009-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME251300000X251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME137750000OtherMAINECARE BILLING PROVIDER NUMBER