Organization Active NPI

Community Regional Charter School

  • Local Education Agency (LEA)
  • Cornville, ME
National Provider Identifier
1336481282
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
COMMUNITY REGIONAL CHARTER SCHOOL
Practice address
1192 W Ridge Rd
Cornville, ME 04976-6214
Phone
(207) 474-8503
Fax
(207) 474-8515
NPI assigned
Mar 19, 2013
Last updated
Oct 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Travis Works
Title
Executive Director
Phone
(207) 474-8503

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X NU Primary

Addresses

Primary practice location

1192 W Ridge Rd
Cornville, ME 04976-6214

Mailing address

48 S Factory St
Skowhegan, ME 04976-1441
Phone (207) 474-8503

Other practice location 1

48 S Factory St
Skowhegan, ME 04976-1441
Phone (207) 474-8503

Other practice location 2

78 Water St Ste 2
Skowhegan, ME 04976-1759
Phone (207) 474-8503

National Provider Directory

National Provider Directory

Locations

1192 W Ridge Rd
Cornville, ME 04976
Phone (207) 474-8503

48 S Factory St
Skowhegan, ME 04976
Phone (207) 474-8503

78 Water St
Ste 2
Skowhegan, ME 04976
Phone (207) 474-8503

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1363651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728950400000",
    "number": "1336481282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 S FACTORY ST",
            "city": "SKOWHEGAN",
            "state": "ME",
            "postal_code": "049761441",
            "telephone_number": "207-474-8503",
            "fax_number": "207-474-8515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1192 W RIDGE RD",
            "city": "CORNVILLE",
            "state": "ME",
            "postal_code": "049766214",
            "telephone_number": "207-474-8503",
            "fax_number": "207-474-8515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "48 S Factory St",
            "address_purpose": "LOCATION",
            "city": "Skowhegan",
            "state": "ME",
            "postal_code": "049761441",
            "country_code": "US",
            "telephone_number": "207-474-8503",
            "fax_number": "207-474-8515",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "78 Water St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Skowhegan",
            "state": "ME",
            "postal_code": "049761759",
            "country_code": "US",
            "telephone_number": "207-474-8503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMMUNITY REGIONAL CHARTER SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-19",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A",
        "authorized_official_last_name": "WORKS",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "207-474-8503",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cornville, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.