NPIMap

Organization Active NPI

Bremen

  • Local Education Agency (LEA)
  • Damariscotta, ME
National Provider Identifier
1497969794
Registry record updated Nov 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
BREMEN
Practice address
767 Main Street, 1a
Damariscotta, ME 04543
Phone
(207) 563-3044
Fax
(207) 563-8276
NPI assigned
May 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2009

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

Authorized official

Name
Deryl C Holt
Title
Director of Special Services
Phone
(207) 563-3044

Specialties & licenses 1

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

Addresses

Primary practice location

767 Main Street, 1a
Damariscotta, ME 04543

Mailing address

767 Main Street, 1a
Damariscotta, ME 04543
Phone (207) 563-3044

Other identifiers 1

IdentifierTypeStateIssuer
136200000MedicaidME

Other names 1

  • AOS 93 Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258416000000",
    "number": "1497969794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "767 MAIN STREET, 1A",
            "city": "DAMARISCOTTA",
            "state": "ME",
            "postal_code": "04543",
            "telephone_number": "207-563-3044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "767 MAIN STREET, 1A",
            "city": "DAMARISCOTTA",
            "state": "ME",
            "postal_code": "04543",
            "telephone_number": "207-563-3044",
            "fax_number": "207-563-8276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREMEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2009-11-17",
        "status": "A",
        "authorized_official_last_name": "HOLT",
        "authorized_official_first_name": "DERYL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR OF SPECIAL SERVICES",
        "authorized_official_telephone_number": "207-563-3044"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "ME",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136200000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AOS 93",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Damariscotta, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2009; 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.