Healthcare Provider Details

I. General information

NPI: 1124176250
Provider Name (Legal Business Name): REGIONAL SCHOOL UNIT NO 38
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2007
Last Update Date: 11/20/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 MILLARD HARRISON DR STUDENT HEALTH CENTER
READFIELD ME
04355-3573
US

IV. Provider business mailing address

45 MILLARD HARRISON DR STUDENT HEALTH CENTER
READFIELD ME
04355-3573
US

V. Phone/Fax

Practice location:
  • Phone: 207-685-4923
  • Fax: 207-685-9597
Mailing address:
  • Phone: 207-685-4923
  • Fax: 207-685-9597

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS1000X
TaxonomyStudent Health Clinic/Center
License NumberNONE
License Number StateME

VIII. Authorized Official

Name: RICHARD A ABRAMSON
Title or Position: SUPERINTENDENT
Credential:
Phone: 207-685-4923