Provider Demographics
NPI:1770848525
Name:KENTS HILL SCHOOL
Entity Type:Organization
Organization Name:KENTS HILL SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:GATES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-685-4914
Mailing Address - Street 1:1614 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:KENTS HILL
Mailing Address - State:ME
Mailing Address - Zip Code:04349-3545
Mailing Address - Country:US
Mailing Address - Phone:207-685-4914
Mailing Address - Fax:207-685-9529
Practice Address - Street 1:1614 MAIN ST
Practice Address - Street 2:
Practice Address - City:KENTS HILL
Practice Address - State:ME
Practice Address - Zip Code:04349-3545
Practice Address - Country:US
Practice Address - Phone:207-685-4914
Practice Address - Fax:207-685-9529
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-09
Last Update Date:2012-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health