Provider Demographics
NPI:1801124391
Name:MSAD # 19
Entity type:Organization
Organization Name:MSAD # 19
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CARPENTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-733-5573
Mailing Address - Street 1:44 SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:LUBEC
Mailing Address - State:ME
Mailing Address - Zip Code:04652-4002
Mailing Address - Country:US
Mailing Address - Phone:207-733-5573
Mailing Address - Fax:207-733-2004
Practice Address - Street 1:44 SOUTH ST
Practice Address - Street 2:
Practice Address - City:LUBEC
Practice Address - State:ME
Practice Address - Zip Code:04652-4002
Practice Address - Country:US
Practice Address - Phone:207-733-5573
Practice Address - Fax:207-733-2004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-23
Last Update Date:2009-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)