Bonnie Rae Condon
Community Based Residential Treatment Facility, Mental Illness in Portage Lake, Maine
1629218409- Practice location
- 3101 Portage RD, Portage Lake, ME 04768-3111
- Phone
- 207-435-6726
- Fax
- 207-435-6949
- Last updated
- March 6, 2009
Bonnie Rae Condon is a healthcare organization based in Portage Lake, ME. Bonnie Rae Condon practices in Portage Lake, ME. The NPI Number for Bonnie Rae Condon is 1629218409. The current practice location address for Bonnie Rae Condon is 3101 Portage RD, Portage Lake, ME 04768-3111 and can be reached out via phone at 207-435-6726 and via fax at 207-435-6949.
Provider Profile Details
- NPI Number
- 1629218409
- Provider Name
- Bonnie Rae Condon
- Provider Entity Type
- Organization
- Address
- 3101 Portage RD, Portage Lake, ME 04768-3111
- Phone Number
- 207-435-6726
- Fax Number
- 207-435-6949
- Primary Taxonomy
- Community Based Residential Treatment Facility, Mental Illness · 320800000X
- Organization Subpart
- No
- Authorized Official
- Mrs. Bonnie Rae Condon · Care Provider · 207-435-6726
- Provider Enumeration Date
- March 6, 2009
- Last Update Date
- March 6, 2009
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3101 Portage RD
Portage Lake, ME 04768-3111 - City
- Portage Lake
- State
- Maine
- Zip
- 04768-3111
- Phone Number
- 207-435-6726
- Fax Number
- 207-435-6949
Provider Business Mailing Address Details
- Address
- 3101 Portage RD
Portage Lake, ME 04768-3111 - City
- Portage Lake
- State
- ME
- Zip
- 04768-3111
- Phone Number
- 207-435-6726
- Fax Number
- 207-435-6949
License Information
- 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. | |||
Other Community Based Residential Treatment Facility, Mental Illness providers near Portage Lake, ME
View all Community Based Residential Treatment Facility, Mental Illness providers in Portage Lake →Frequently Asked Questions
What is the NPI number of Bonnie Rae Condon?
The NPI number of Bonnie Rae Condon is 1629218409. It was assigned on March 6, 2009 and is currently active in the NPPES registry.
What is the specialty of Bonnie Rae Condon?
Bonnie Rae Condon is registered under the primary taxonomy Community Based Residential Treatment Facility, Mental Illness (code 320800000X).
Where does Bonnie Rae Condon practice?
The practice location is 3101 Portage RD, Portage Lake, ME 04768-3111. The office can be reached at 207-435-6726 (phone) or 207-435-6949 (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 1629218409 directly on the NPPES registry website.