Provider Demographics
NPI:1891919486
Name:TOWN OF BRUNSWICK SCHOOL DEPT.
Entity Type:Organization
Organization Name:TOWN OF BRUNSWICK SCHOOL DEPT.
Other - Org Name:BRUNSWICK SCHOOL DEPT.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATIVE SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:D
Authorized Official - Last Name:FURROW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-319-1900
Mailing Address - Street 1:46 FEDERAL ST
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:ME
Mailing Address - Zip Code:04011-2125
Mailing Address - Country:US
Mailing Address - Phone:207-319-1900
Mailing Address - Fax:207-725-1700
Practice Address - Street 1:46 FEDERAL ST
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:ME
Practice Address - Zip Code:04011-2125
Practice Address - Country:US
Practice Address - Phone:207-319-1900
Practice Address - Fax:207-725-1700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-13
Last Update Date:2019-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME114260000Medicaid
ME435529100Medicaid