Provider Demographics
NPI:1578775847
Name:RSU 14 -WINDHAM RAYMOND SCHOOL DISTRICT
Entity Type:Organization
Organization Name:RSU 14 -WINDHAM RAYMOND SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SANFORD
Authorized Official - Middle Name:J
Authorized Official - Last Name:PRINCE
Authorized Official - Suffix:IV
Authorized Official - Credentials:
Authorized Official - Phone:207-892-1800
Mailing Address - Street 1:228 WINDHAM CENTER RD
Mailing Address - Street 2:
Mailing Address - City:WINDHAM
Mailing Address - State:ME
Mailing Address - Zip Code:04062-4862
Mailing Address - Country:US
Mailing Address - Phone:207-892-1800
Mailing Address - Fax:207-892-1805
Practice Address - Street 1:228 WINDHAM CENTER RD
Practice Address - Street 2:
Practice Address - City:WINDHAM
Practice Address - State:ME
Practice Address - Zip Code:04062-4862
Practice Address - Country:US
Practice Address - Phone:207-892-1800
Practice Address - Fax:207-892-1805
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-07
Last Update Date:2009-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME251300000251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME434765001Medicaid