Healthcare Provider Details

I. General information

NPI: 1487867057
Provider Name (Legal Business Name): TOWN OF ALTON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2007
Last Update Date: 07/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

78 MAIN RD
MILFORD ME
04461-3605
US

IV. Provider business mailing address

78 MAIN RD
MILFORD ME
04461-3605
US

V. Phone/Fax

Practice location:
  • Phone: 207-827-8061
  • Fax:
Mailing address:
  • Phone: 207-827-8061
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ALAN SMITH
Title or Position: SUPERINTENDENT OF SCHOOLS
Credential:
Phone: 207-827-8061