Healthcare Provider Details

I. General information

NPI: 1063356970
Provider Name (Legal Business Name): HEBRON ACADEMY INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2026
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

339 PARIS RD
HEBRON ME
04238-3408
US

IV. Provider business mailing address

PO BOX 309
HEBRON ME
04238-0309
US

V. Phone/Fax

Practice location:
  • Phone: 207-966-5247
  • Fax: 207-221-1188
Mailing address:
  • Phone: 207-966-5247
  • Fax: 207-221-1188

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: KRISTEN GARVIN
Title or Position: RN
Credential: RN
Phone: 207-966-5247