Provider Demographics
NPI:1477769628
Name:SCHOOL ADMINISTRATIVE DISTRICT 43
Entity Type:Organization
Organization Name:SCHOOL ADMINISTRATIVE DISTRICT 43
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:HODGKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-364-7896
Mailing Address - Street 1:3 RECREATION DR
Mailing Address - Street 2:
Mailing Address - City:MEXICO
Mailing Address - State:ME
Mailing Address - Zip Code:04257-1551
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:207-364-5609
Practice Address - Street 1:3 RECREATION DR
Practice Address - Street 2:
Practice Address - City:MEXICO
Practice Address - State:ME
Practice Address - Zip Code:04257-1551
Practice Address - Country:US
Practice Address - Phone:207-364-7896
Practice Address - Fax:207-364-5609
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-15
Last Update Date:2008-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME103550000Medicaid