Healthcare Provider Details

I. General information

NPI: 1437364890
Provider Name (Legal Business Name): TOWN OF NEW SWEDEN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2007
Last Update Date: 07/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

113 WESTMANLAND RD
NEW SWEDEN ME
04762-3403
US

IV. Provider business mailing address

843 WOODLAND CENTER RD
WOODLAND ME
04736-5145
US

V. Phone/Fax

Practice location:
  • Phone: 207-896-5541
  • Fax: 207-896-3023
Mailing address:
  • Phone: 207-498-8436
  • Fax: 207-498-6349

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. JOHN E HEDMAN
Title or Position: SUPERINTENDENT OF SCHOOLS
Credential:
Phone: 207-498-8436