Provider Demographics
NPI:1851504724
Name:CITY OF BIDDEFORD
Entity Type:Organization
Organization Name:CITY OF BIDDEFORD
Other - Org Name:BIDDEFORD SCHOOL DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SUPERINTENDENT OF SCHOOLS
Authorized Official - Prefix:MISS
Authorized Official - First Name:SARAH-JANE
Authorized Official - Middle Name:
Authorized Official - Last Name:POLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-282-8280
Mailing Address - Street 1:205 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BIDDEFORD
Mailing Address - State:ME
Mailing Address - Zip Code:04005
Mailing Address - Country:US
Mailing Address - Phone:207-282-8280
Mailing Address - Fax:207-282-8424
Practice Address - Street 1:205 MAIN ST
Practice Address - Street 2:
Practice Address - City:BIDDEFORD
Practice Address - State:ME
Practice Address - Zip Code:04005
Practice Address - Country:US
Practice Address - Phone:207-282-8280
Practice Address - Fax:207-282-8424
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-08
Last Update Date:2008-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME427020000Medicaid