Provider Demographics
NPI:1700189628
Name:REGIONAL SCHOOL UNIT #4
Entity Type:Organization
Organization Name:REGIONAL SCHOOL UNIT #4
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:HODGKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-375-4273
Mailing Address - Street 1:971 GARDINER RD
Mailing Address - Street 2:
Mailing Address - City:WALES
Mailing Address - State:ME
Mailing Address - Zip Code:04280-3261
Mailing Address - Country:US
Mailing Address - Phone:207-375-4273
Mailing Address - Fax:
Practice Address - Street 1:40 BALL PARK RD
Practice Address - Street 2:
Practice Address - City:SABATTUS
Practice Address - State:ME
Practice Address - Zip Code:04280-4246
Practice Address - Country:US
Practice Address - Phone:207-375-6961
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-15
Last Update Date:2010-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECC3288251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health