MEDICARE: MSAD 7

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)		ME

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1619184207
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MSAD 7

Provider Business Mailing Address
First Line	:	RR 1 BOX 699
Second Line	:
City	:	NORTH HAVEN
State	:	ME
Zip	:	04853-9707
Country	:	US
Telephone Number	:	207-867-4707
Fax Number	:	207-867-4438

Provider Business Practice Location Address
First Line	:	RR 1 BOX 699
Second Line	:
City	:	NORTH HAVEN
State	:	ME
Zip	:	04853-9707
Country	:	US
Telephone Number	:	207-867-4707
Fax Number	:	207-867-4438

Authorized Official
Title or Position	:	COORDINATOR OF SPECIAL SERVICES
Name	:	MISS HOLLY J BLAKE
Credential	:	M.A.
Telephone Number	:	207-867-4707

Provider Enumeration Date	:	05/16/2007
Last Update Date	:	12/17/2009

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Directions to “MSAD 7 ” Practice Location

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