Provider Demographics
NPI:1922213602
Name:TOWN OF MACHIAS
Entity Type:Organization
Organization Name:TOWN OF MACHIAS
Other - Org Name:MACHIAS SCHOOL DEPARTMENT SCHOOL UNION 102
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-255-6585
Mailing Address - Street 1:RR 1 BOX 12A
Mailing Address - Street 2:
Mailing Address - City:MACHIAS
Mailing Address - State:ME
Mailing Address - Zip Code:04654-9701
Mailing Address - Country:US
Mailing Address - Phone:207-255-4381
Mailing Address - Fax:
Practice Address - Street 1:99 COURT ST
Practice Address - Street 2:
Practice Address - City:MACHIAS
Practice Address - State:ME
Practice Address - Zip Code:04654-1004
Practice Address - Country:US
Practice Address - Phone:207-255-3411
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2008-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME136810000Medicaid