Provider Demographics
NPI:1639382310
Name:MSAD 6
Entity Type:Organization
Organization Name:MSAD 6
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL ED CO-DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PHILLIP
Authorized Official - Middle Name:J
Authorized Official - Last Name:POTENZIANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-929-9105
Mailing Address - Street 1:PO BOX 38
Mailing Address - Street 2:
Mailing Address - City:BAR MILLS
Mailing Address - State:ME
Mailing Address - Zip Code:04004-0038
Mailing Address - Country:US
Mailing Address - Phone:207-929-9105
Mailing Address - Fax:207-929-5955
Practice Address - Street 1:94 MAIN ST
Practice Address - Street 2:
Practice Address - City:BUXTON
Practice Address - State:ME
Practice Address - Zip Code:04093
Practice Address - Country:US
Practice Address - Phone:207-929-9105
Practice Address - Fax:207-929-5955
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)