Active NPIOrganization

Northern Maine General

Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Eagle Lake, Maine

NPI Number1265643670
Practice location
39 Devoe Brook RD, Eagle Lake, ME 04739-0310
Fax
207-444-6099
Last updated
August 22, 2020

Northern Maine General is a healthcare organization based in Eagle Lake, ME. Northern Maine General practices in Eagle Lake, ME. The NPI Number for Northern Maine General is 1265643670 and holds a License No. ALLS 2222 (ME). The current practice location address for Northern Maine General is 39 Devoe Brook RD, Eagle Lake, ME 04739-0310 and can be reached out via phone at 207-444-5152 and via fax at 207-444-6099.

Provider Profile Details

NPI Number
1265643670
Provider Name
Northern Maine General
Provider Entity Type
Organization
Address
39 Devoe Brook RD, Eagle Lake, ME 04739-0310
Phone Number
207-444-5152
Fax Number
207-444-6099
Organization Subpart
No
Authorized Official
Reynold Raymond · Chief Executive Officer · 207-444-5152
Other Names
Devoe Brook Waiver Home (Doing Business As)
Provider Enumeration Date
May 25, 2007
Last Update Date
August 22, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
39 Devoe Brook RD
Eagle Lake, ME 04739-0310
State
Maine
Zip
04739-0310
Phone Number
207-444-5152
Fax Number
207-444-6099
Eagle Lake, ME 04739Get directions →

Provider Business Mailing Address Details

Address
Po Box 310
Eagle Lake, ME 04739-0310
City
Eagle Lake
State
ME
Zip
04739-0310
Phone Number
207-444-5152
Fax Number
207-444-6099

License Information

License Number
ALLS 2222
License State
ME

Legacy Identifiers

IdentifierTypeStateIssuer
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 Northern Maine General?

The NPI number of Northern Maine General is 1265643670. It was assigned on May 25, 2007 and is currently active in the NPPES registry.

What is the specialty of Northern Maine General?

Northern Maine General is registered under the primary taxonomy Residential Treatment Facility, Intellectual and/or Developmental Disabilities (code 320600000X), licensed in ME under license number ALLS 2222.

Where does Northern Maine General practice?

The practice location is 39 Devoe Brook RD, Eagle Lake, ME 04739-0310. The office can be reached at 207-444-5152 (phone) or 207-444-6099 (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 1265643670 directly on the NPPES registry website.

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