Provider Demographics
NPI:1881241156
Name:SEBAGO SCHOOL DEPARTMENT
Entity type:Organization
Organization Name:SEBAGO SCHOOL DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT OF SCHOOLS
Authorized Official - Prefix:MR
Authorized Official - First Name:MARC
Authorized Official - Middle Name:E
Authorized Official - Last Name:GENDRON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-787-3701
Mailing Address - Street 1:283 SEBAGO RD
Mailing Address - Street 2:
Mailing Address - City:SEBAGO
Mailing Address - State:ME
Mailing Address - Zip Code:04029-3718
Mailing Address - Country:US
Mailing Address - Phone:207-787-3701
Mailing Address - Fax:207-787-2472
Practice Address - Street 1:283 SEBAGO RD
Practice Address - Street 2:
Practice Address - City:SEBAGO
Practice Address - State:ME
Practice Address - Zip Code:04029-3718
Practice Address - Country:US
Practice Address - Phone:207-787-3701
Practice Address - Fax:207-787-2472
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-21
Last Update Date:2019-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)