Provider Demographics
NPI:1518188739
Name:MAINE SCHOOL ADMINISTRATIVE DISTRICT 47
Entity Type:Organization
Organization Name:MAINE SCHOOL ADMINISTRATIVE DISTRICT 47
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:C
Authorized Official - Last Name:MORSE
Authorized Official - Suffix:SR
Authorized Official - Credentials:PH D
Authorized Official - Phone:207-465-7384
Mailing Address - Street 1:41 HEATH ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04963-4901
Mailing Address - Country:US
Mailing Address - Phone:207-465-7384
Mailing Address - Fax:207-465-9130
Practice Address - Street 1:41 HEATH ST
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:ME
Practice Address - Zip Code:04963-4901
Practice Address - Country:US
Practice Address - Phone:207-465-7384
Practice Address - Fax:207-465-9130
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-02
Last Update Date:2008-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME137950000Medicaid