Provider Demographics
NPI:1215140181
Name:SCHOOL ADMINISTRATIVE DISTRICT 27
Entity type:Organization
Organization Name:SCHOOL ADMINISTRATIVE DISTRICT 27
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SIROIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-834-3189
Mailing Address - Street 1:84 PLEASANT STREET
Mailing Address - Street 2:SUITE 1
Mailing Address - City:FORT KENT
Mailing Address - State:ME
Mailing Address - Zip Code:04743
Mailing Address - Country:US
Mailing Address - Phone:207-834-3189
Mailing Address - Fax:207-834-3395
Practice Address - Street 1:84 PLEASANT STREET
Practice Address - Street 2:SUITE 1
Practice Address - City:FORT KENT
Practice Address - State:ME
Practice Address - Zip Code:04743
Practice Address - Country:US
Practice Address - Phone:207-834-3189
Practice Address - Fax:207-834-3395
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-08
Last Update Date:2018-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME103210001OtherPROVIDER ID NUMBER