Provider Demographics
NPI:1831425487
Name:WINSLOW PUBLIC SCHOOLS
Entity type:Organization
Organization Name:WINSLOW PUBLIC SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT OF SCHOOLS
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:HALEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-873-4281
Mailing Address - Street 1:25 MESSALONSKEE AVE
Mailing Address - Street 2:
Mailing Address - City:WATERVILLE
Mailing Address - State:ME
Mailing Address - Zip Code:04901-5206
Mailing Address - Country:US
Mailing Address - Phone:207-873-4281
Mailing Address - Fax:207-872-5531
Practice Address - Street 1:25 MESSALONSKEE AVE
Practice Address - Street 2:
Practice Address - City:WATERVILLE
Practice Address - State:ME
Practice Address - Zip Code:04901-5206
Practice Address - Country:US
Practice Address - Phone:207-873-4281
Practice Address - Fax:207-872-5531
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-02
Last Update Date:2009-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME251300000X251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME137500002Medicaid
ME137500000Medicaid