Active NPI
School Administrative District #20
- Developmentally Disabled Services Day Training Agency
- Fort Fairfield, ME
National Provider Identifier
1366651440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- SCHOOL ADMINISTRATIVE DISTRICT #20
- Practice address
- 28 High School Dr Ste B
Fort Fairfield, ME 04742-1187 - Phone
- (207) 473-4455
- NPI assigned
- May 22, 2007
- Last updated
- Jun 23, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cathy G Smith
- Title
- Bookkeeper
- Phone
- (207) 473-4455
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | ME | Primary |
Addresses
Primary practice location
28 High School Dr Ste B
Fort Fairfield, ME 04742-1187
Mailing address
28 High School Dr Ste B
Fort Fairfield, ME 04742-1187
Phone (207) 473-4455
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 137870001 | Medicaid | ME |
National Provider Directory
National Provider Directory- Tax ID family
- School Administrative District 20
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Local Education Agency (LEA)
- Dixfield, ME
- NPI 1134334071
-
- Local Education Agency (LEA)
- Fort Fairfield, ME
- NPI 1750595245
Locations
28 High School Dr
Ste B
Fort Fairfield, ME 04742
Phone (207) 472-3277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214179200000",
"number": "1366651440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 HIGH SCHOOL DR STE B",
"city": "FORT FAIRFIELD",
"state": "ME",
"postal_code": "047421187",
"telephone_number": "207-473-4455",
"fax_number": "207-473-4095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 HIGH SCHOOL DR STE B",
"city": "FORT FAIRFIELD",
"state": "ME",
"postal_code": "047421187",
"telephone_number": "207-473-4455"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCHOOL ADMINISTRATIVE DISTRICT #20",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-22",
"last_updated": "2008-06-23",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "CATHY",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "BOOKKEEPER",
"authorized_official_telephone_number": "207-473-4455"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "ME",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "137870001",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Fairfield, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.