- Practice location
- 63 Washington St, Camden, ME 04843-1581
- Phone
- 207-236-3638
- Fax
- 207-236-3638
- Last updated
- July 11, 2011
63 Washington Street is a healthcare organization based in Camden, ME. 63 Washington Street practices in Camden, ME. The NPI Number for 63 Washington Street is 1245528314 and holds a License No. ALLS 4136 (ME). The current practice location address for 63 Washington Street is 63 Washington St, Camden, ME 04843-1581 and can be reached out via phone at 207-236-3638 and via fax at 207-236-3638.
Provider Profile Details
- NPI Number
- 1245528314
- Provider Name
- 63 Washington Street
- Provider Entity Type
- Organization
- Address
- 63 Washington St, Camden, ME 04843-1581
- Phone Number
- 207-236-3638
- Fax Number
- 207-236-3638
- Primary Taxonomy
- Community Based Residential Treatment Facility, Mental Illness · 320800000X
- Organization Subpart
- No
- Authorized Official
- Mrs. Theresa K Willey · Administrator · 207-236-3638
- Provider Enumeration Date
- July 11, 2011
- Last Update Date
- July 11, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 63 Washington St
Camden, ME 04843-1581 - City
- Camden
- State
- Maine
- Zip
- 04843-1581
- Phone Number
- 207-236-3638
- Fax Number
- 207-236-3638
Provider Business Mailing Address Details
- Address
- 63 Washington Street
Camden, ME 04843 - City
- Camden
- State
- ME
- Zip
- 04843
- Phone Number
- 207-236-3638
- Fax Number
- 207-236-3638
License Information
- License Number
- ALLS 4136
- License State
- ME
- Taxonomy
- Community Based Residential Treatment Facility, Mental Illness · 320800000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of 63 Washington Street?
The NPI number of 63 Washington Street is 1245528314. It was assigned on July 11, 2011 and is currently active in the NPPES registry.
What is the specialty of 63 Washington Street?
63 Washington Street is registered under the primary taxonomy Community Based Residential Treatment Facility, Mental Illness (code 320800000X), licensed in ME under license number ALLS 4136.
Where does 63 Washington Street practice?
The practice location is 63 Washington St, Camden, ME 04843-1581. The office can be reached at 207-236-3638 (phone) or 207-236-3638 (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 1245528314 directly on the NPPES registry website.