=====================================================
General NPI Number Information
=====================================================
NPI Number | 1124176250
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | REGIONAL SCHOOL UNIT NO 38
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/08/2007
-----------------------------------------------------
Last Update Date | 11/20/2009
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 45 MILLARD HARRISON DR STUDENT HEALTH CENTER
-----------------------------------------------------
City | READFIELD
-----------------------------------------------------
State | ME
-----------------------------------------------------
Zip | 04355-3573
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 207-685-4923
-----------------------------------------------------
Fax | 207-685-9597
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 45 MILLARD HARRISON DR STUDENT HEALTH CENTER
-----------------------------------------------------
City | READFIELD
-----------------------------------------------------
State | ME
-----------------------------------------------------
Zip | 04355-3573
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 207-685-4923
-----------------------------------------------------
Fax | 207-685-9597
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | SUPERINTENDENT
-----------------------------------------------------
Name | RICHARD A ABRAMSON
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 207-685-4923
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QS1000X
-----------------------------------------------------
Taxonomy Name | Student Health Clinic/Center
-----------------------------------------------------
License Number | NONE
-----------------------------------------------------
License Number State | ME
-----------------------------------------------------