Provider Demographics
NPI:1497963854
Name:TOWN OF MEDDYBEMPS
Entity Type:Organization
Organization Name:TOWN OF MEDDYBEMPS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPED ADMINISTRATIVE ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:ANN MARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:FLOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-427-6038
Mailing Address - Street 1:23 FOURTH AVE
Mailing Address - Street 2:
Mailing Address - City:BAILEYVILLE
Mailing Address - State:ME
Mailing Address - Zip Code:04694-3232
Mailing Address - Country:US
Mailing Address - Phone:207-427-6038
Mailing Address - Fax:
Practice Address - Street 1:23 FOURTH AVE
Practice Address - Street 2:
Practice Address - City:BAILEYVILLE
Practice Address - State:ME
Practice Address - Zip Code:04694-3232
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:2007-05-18
Last Update Date:2019-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME1497963854Medicaid