Provider Demographics
NPI:1053531897
Name:BATH PUBLIC SCHOOLS
Entity type:Organization
Organization Name:BATH PUBLIC SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE ASSISTANT SPECIAL ED
Authorized Official - Prefix:MRS
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:WARNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-443-6601
Mailing Address - Street 1:39 ANDREWS RD
Mailing Address - Street 2:
Mailing Address - City:BATH
Mailing Address - State:ME
Mailing Address - Zip Code:04530-2105
Mailing Address - Country:US
Mailing Address - Phone:207-443-6601
Mailing Address - Fax:207-443-8295
Practice Address - Street 1:39 ANDREWS RD
Practice Address - Street 2:
Practice Address - City:BATH
Practice Address - State:ME
Practice Address - Zip Code:04530-2105
Practice Address - Country:US
Practice Address - Phone:207-443-6601
Practice Address - Fax:207-443-8295
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME=========Medicaid