Provider Demographics
NPI:1407142649
Name:EAST RANGE II
Entity Type:Organization
Organization Name:EAST RANGE II
Other - Org Name:EAST RANGE II SCHOOL
Other - Org Type:Other Name
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCLAUGHLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-427-6038
Mailing Address - Street 1:PO BOX 580
Mailing Address - Street 2:63 BROADWAY STREET
Mailing Address - City:BAILEYVILLE
Mailing Address - State:ME
Mailing Address - Zip Code:04694-0580
Mailing Address - Country:US
Mailing Address - Phone:207-427-6038
Mailing Address - Fax:
Practice Address - Street 1:31 HOULTON RD
Practice Address - Street 2:
Practice Address - City:DANFORTH
Practice Address - State:ME
Practice Address - Zip Code:04424-3138
Practice Address - Country:US
Practice Address - Phone:207-427-6038
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-27
Last Update Date:2011-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME100760537OtherDUNS