Healthcare Provider Details

I. General information

NPI: 1922212190
Provider Name (Legal Business Name): SCHOOL ADMINISTRATIVE UNIT 44
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2007
Last Update Date: 07/22/2020
Certification Date: 07/22/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 PARKWAY STE 204
BETHEL ME
04217-4451
US

IV. Provider business mailing address

1 PARKWAY STE 204
BETHEL ME
04217-4451
US

V. Phone/Fax

Practice location:
  • Phone: 207-824-2185
  • Fax:
Mailing address:
  • Phone: 207-824-2185
  • Fax: 207-824-2725

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number StateNH

VIII. Authorized Official

Name: DR. DAVID MURPHY
Title or Position: SUPERINTENDENT
Credential:
Phone: 207-824-2185