Healthcare Provider Details

I. General information

NPI: 1962624221
Provider Name (Legal Business Name): SCHOOL UNION 93
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 HINCKLEY RIDGE ROAD
BLUE HILL ME
04614
US

IV. Provider business mailing address

20 HINCKLEY RIDGE ROAD
BLUE HILL ME
04614
US

V. Phone/Fax

Practice location:
  • Phone: 207-374-5609
  • Fax: 207-374-2951
Mailing address:
  • Phone: 207-374-5609
  • Fax: 207-374-2951

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. STEVE D PEER
Title or Position: DIRECTOR OF SPECIAL EDUCATION
Credential:
Phone: 207-374-5609