Organization Active NPI

Maine School Administrative District No 72

  • Developmentally Disabled Services Day Training Agency
  • Fryeburg, ME
National Provider Identifier
1881808913
Registry record updated Jul 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
MAINE SCHOOL ADMINISTRATIVE DISTRICT NO 72
Practice address
124 Portland Street
Fryeburg, ME 04037
Phone
(207) 935-2600
Fax
(207) 935-3787
NPI assigned
May 9, 2007
Last updated
Jul 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2008

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

Authorized official

Name
Nancy Hall
Title
Director of Special Services
Phone
(207) 935-2600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X NU Primary

Addresses

Primary practice location

124 Portland Street
Fryeburg, ME 04037

Mailing address

124 Portland Street
Fryeburg, ME 04037
Phone (207) 935-2600

Other identifiers 1

IdentifierTypeStateIssuer
104390001MedicaidME

National Provider Directory

National Provider Directory
Tax ID family
Maine School Administrative District No 722 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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": "1216857600000",
    "number": "1881808913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 PORTLAND STREET",
            "city": "FRYEBURG",
            "state": "ME",
            "postal_code": "04037",
            "telephone_number": "207-935-2600",
            "fax_number": "207-935-3787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 PORTLAND STREET",
            "city": "FRYEBURG",
            "state": "ME",
            "postal_code": "04037",
            "telephone_number": "207-935-2600",
            "fax_number": "207-935-3787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINE SCHOOL ADMINISTRATIVE DISTRICT NO 72",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "DIRECTOR OF SPECIAL SERVICES",
        "authorized_official_telephone_number": "207-935-2600"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104390001",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fryeburg, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.