- Practice location
- 656 State St, Bangor, ME 04401-5609
- Phone
- 207-287-7418
- Fax
- 207-287-1862
- Last updated
- June 14, 2019
State Of Maine is a healthcare organization based in Bangor, ME. State Of Maine practices in Bangor, ME. The NPI Number for State Of Maine is 1184020091 and holds a License No. 681294 (ME). The current practice location address for State Of Maine is 656 State St, Bangor, ME 04401-5609 and can be reached out via phone at 207-287-7418 and via fax at 207-287-1862.
Provider Profile Details
- NPI Number
- 1184020091
- Provider Name
- State Of Maine
- Provider Entity Type
- Organization
- Address
- 656 State St, Bangor, ME 04401-5609
- Phone Number
- 207-287-7418
- Fax Number
- 207-287-1862
- Primary Taxonomy
- Community/Behavioral Health · 251S00000X
- Organization Subpart
- No
- Authorized Official
- Carol Webb Cody · Financial Manager · 207-941-4192
- Other Names
- Dorothea Dix Psychiatric Center Out Patient Services (Doing Business As)
- Provider Enumeration Date
- November 5, 2014
- Last Update Date
- June 14, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 656 State St
Bangor, ME 04401-5609 - City
- Bangor
- State
- Maine
- Zip
- 04401-5609
- Phone Number
- 207-287-7418
- Fax Number
- 207-287-1862
Provider Business Mailing Address Details
- Address
- 109 Capitol Street Shs #11, Reimbursement Unit
Augusta, ME 04333-0011 - City
- Augusta
- State
- ME
- Zip
- 04333-0011
- Phone Number
- 207-287-7418
License Information
- License Number
- 681294
- License State
- ME
- Taxonomy
- Community/Behavioral Health · 251S00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Community/Behavioral Health providers near Bangor, ME
View all Community/Behavioral Health providers in Bangor →- Care Development Of MaineCommunity/Behavioral Health · NPI 1427286384
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Frequently Asked Questions
What is the NPI number of State Of Maine?
The NPI number of State Of Maine is 1184020091. It was assigned on November 5, 2014 and is currently active in the NPPES registry.
What is the specialty of State Of Maine?
State Of Maine is registered under the primary taxonomy Community/Behavioral Health (code 251S00000X), licensed in ME under license number 681294.
Where does State Of Maine practice?
The practice location is 656 State St, Bangor, ME 04401-5609. The office can be reached at 207-287-7418 (phone) or 207-287-1862 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1184020091 directly on the NPPES registry website.