Town of Vassalboro – Case Management Agency

Key facts

NPI: 1801003207
Entity type: Organization (NPI type 2)
Primary specialty: Case Management Agency 251B00000X
License: 432345500 (ME)
Legal business name: TOWN OF VASSALBORO
Practice address: 1116 Webber Pond Road
Vassalboro, ME 04989
Phone: (207) 923-3100
Fax: (207) 923-3104
NPI assigned: May 16, 2007
Organization subpart: No

Authorized official

Name: Ms. Dianna L Gram
Title: Director of Special Education
Phone: (207) 923-3100

Corporate family (same tax ID) 2

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

Town of Vassalboro Developmentally Disabled Services Day Training Agency · Vassalboro, ME · NPI 1285841262

NPD tax ID
Town of Vassalboro Local Education Agency (LEA) · Vassalboro, ME · NPI 1295942274

NPD tax ID

National Provider Directory

Tax ID family: Town of Vassalboro (3 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Case Management Agency	251B00000X	432345500	ME	Yes

Addresses

Primary practice location

1116 Webber Pond Road
Vassalboro, ME 04989

Mailing address

1116 Webber Pond Road
Vassalboro, ME 04989
Phone (207) 923-3100

Other identifiers

Identifier	Type	State	Issuer
432345500	Medicaid	ME

Other names

Vassalboro Public Schools Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 1, 2008.

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217548800000",
    "number": "1801003207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 WEBBER POND ROAD",
            "city": "VASSALBORO",
            "state": "ME",
            "postal_code": "04989",
            "telephone_number": "207-923-3100",
            "fax_number": "207-923-3104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 WEBBER POND ROAD",
            "city": "VASSALBORO",
            "state": "ME",
            "postal_code": "04989",
            "telephone_number": "207-923-3100",
            "fax_number": "207-923-3104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF VASSALBORO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2008-08-01",
        "status": "A",
        "authorized_official_last_name": "GRAM",
        "authorized_official_first_name": "DIANNA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR OF SPECIAL EDUCATION",
        "authorized_official_telephone_number": "207-923-3100",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "ME",
            "license": "432345500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432345500",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vassalboro Public Schools",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Vassalboro, ME

All providers in Vassalboro, ME · Case Management Agency in Maine

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 1, 2008. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.