Provider Demographics
NPI:1841409026
Name:BRIDGEWATER SCHOOL DEPARTMENT
Entity Type:Organization
Organization Name:BRIDGEWATER SCHOOL DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GEHRIG
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-764-4101
Mailing Address - Street 1:11 SCHOOL ST.
Mailing Address - Street 2:
Mailing Address - City:BRIDGEWATER
Mailing Address - State:ME
Mailing Address - Zip Code:04735
Mailing Address - Country:US
Mailing Address - Phone:207-429-9203
Mailing Address - Fax:207-429-8019
Practice Address - Street 1:11 SCHOOL ST.
Practice Address - Street 2:
Practice Address - City:BRIDGEWATER
Practice Address - State:ME
Practice Address - Zip Code:04735
Practice Address - Country:US
Practice Address - Phone:207-429-9203
Practice Address - Fax:207-429-8019
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)