Active NPIOrganization

Evergreen Health, LLC

Clinic/Center, Multi-Specialty in Manchester, Maine

NPI Number1407403611
Practice location
29 Bowdoin St, Manchester, ME 04351-3554
Fax
207-622-5452
Last updated
August 22, 2019

Evergreen Health, LLC is a healthcare organization based in Manchester, ME. Evergreen Health, LLC practices in Manchester, ME. The NPI Number for Evergreen Health, LLC is 1407403611. The current practice location address for Evergreen Health, LLC is 29 Bowdoin St, Manchester, ME 04351-3554 and can be reached out via phone at 207-622-4500 and via fax at 207-622-5452.

Provider Profile Details

NPI Number
1407403611
Provider Name
Evergreen Health, LLC
Provider Entity Type
Organization
Address
29 Bowdoin St, Manchester, ME 04351-3554
Phone Number
207-622-4500
Fax Number
207-622-5452
Primary Taxonomy
Clinic/Center, Multi-Specialty · 261QM1300X
Organization Subpart
No
Authorized Official
Erin Baker, BILLING ACCOUNT MANA · Accounts Coordinator · 207-662-4500
Other Names
Evregreen, Health LLC (Doing Business As)
Provider Enumeration Date
August 22, 2019
Last Update Date
August 22, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
29 Bowdoin St
Manchester, ME 04351-3554
State
Maine
Zip
04351-3554
Phone Number
207-622-4500
Fax Number
207-622-5452
Manchester, ME 04351Get directions →

Provider Business Mailing Address Details

Address
29 Bowdoin St
Manchester, ME 04351-3554
City
Manchester
State
ME
Zip
04351-3554
Phone Number
207-622-4500
Fax Number
207-622-5452

License Information

Taxonomy
Clinic/Center, Multi-Specialty · 261QM1300X · Primary

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 Evergreen Health, LLC?

The NPI number of Evergreen Health, LLC is 1407403611. It was assigned on August 22, 2019 and is currently active in the NPPES registry.

What is the specialty of Evergreen Health, LLC?

Evergreen Health, LLC is registered under the primary taxonomy Clinic/Center, Multi-Specialty (code 261QM1300X).

Where does Evergreen Health, LLC practice?

The practice location is 29 Bowdoin St, Manchester, ME 04351-3554. The office can be reached at 207-622-4500 (phone) or 207-622-5452 (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 1407403611 directly on the NPPES registry website.

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