Provider Demographics
NPI:1467788836
Name:RSU #4
Entity Type:Organization
Organization Name:RSU #4
Other - Org Name:REGIONAL SCHOOL UNIT #4
Other - Org Type:Other Name
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:D
Authorized Official - Last Name:ELDRIDGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-375-4273
Mailing Address - Street 1:971 GARDINER RD
Mailing Address - Street 2:
Mailing Address - City:WALES
Mailing Address - State:ME
Mailing Address - Zip Code:04280-3261
Mailing Address - Country:US
Mailing Address - Phone:207-375-4273
Mailing Address - Fax:207-375-2522
Practice Address - Street 1:971 GARDINER RD
Practice Address - Street 2:
Practice Address - City:WALES
Practice Address - State:ME
Practice Address - Zip Code:04280-3261
Practice Address - Country:US
Practice Address - Phone:207-375-4273
Practice Address - Fax:207-375-2522
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-20
Last Update Date:2010-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)