Provider Demographics
NPI:1700091352
Name:FAYETTE SCHOOL DEPT
Entity Type:Organization
Organization Name:FAYETTE SCHOOL DEPT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIANE
Authorized Official - Middle Name:E
Authorized Official - Last Name:COULTHARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-685-4770
Mailing Address - Street 1:2023 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FAYETTE
Mailing Address - State:ME
Mailing Address - Zip Code:04349-3501
Mailing Address - Country:US
Mailing Address - Phone:207-685-4770
Mailing Address - Fax:207-685-4756
Practice Address - Street 1:2023 MAIN ST
Practice Address - Street 2:
Practice Address - City:FAYETTE
Practice Address - State:ME
Practice Address - Zip Code:04349-3501
Practice Address - Country:US
Practice Address - Phone:207-685-4770
Practice Address - Fax:207-685-4756
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)