Organization Active NPI

School Administrative District #20

  • Developmentally Disabled Services Day Training Agency
  • Fort Fairfield, ME
National Provider Identifier
1366651440
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
137870001MedicaidME

National Provider Directory

National Provider Directory
Tax ID family
School Administrative District 203 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.