MEDICARE: SCHOOL UNION 93

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251300000X	Local Education Agency (LEA)

General Provider Information

NPI Number	:	1528271129
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SCHOOL UNION 93

Provider Business Mailing Address
First Line	:	20 HINCKLEY ROAD
Second Line	:
City	:	BLUE HILL
State	:	ME
Zip	:	04614
Country	:	US
Telephone Number	:	207-374-5609
Fax Number	:

Provider Business Practice Location Address
First Line	:	ROUTE 175
Second Line	:
City	:	PENOBSCOT
State	:	ME
Zip	:	04476
Country	:	US
Telephone Number	:	207-326-9421
Fax Number	:

Authorized Official
Title or Position	:	DIRRECTOR OF SPECIAL EDUCATION
Name	:	MR. STEVE D PEER
Credential	:
Telephone Number	:	207-374-5609

Provider Enumeration Date	:	05/08/2007
Last Update Date	:	08/22/2020

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