Active NPIOrganization

Providence Service Corporation Of Maine

Community/Behavioral Health in Brunswick, Maine

NPI Number1629338769
Practice location
14 Maine St, Suite 202, Box 50, Brunswick, ME 04011-2049
Fax
—
Last updated
May 23, 2012

Providence Service Corporation Of Maine is a healthcare organization based in Brunswick, ME. Providence Service Corporation Of Maine practices in Brunswick, ME. The NPI Number for Providence Service Corporation Of Maine is 1629338769 and holds a License No. 392123 (ME). The current practice location address for Providence Service Corporation Of Maine is 14 Maine St, Suite 202, Box 50, Brunswick, ME 04011-2049 and can be reached out via phone at 207-373-0620.

Provider Profile Details

NPI Number
1629338769
Provider Name
Providence Service Corporation Of Maine
Provider Entity Type
Organization
Address
14 Maine St, Suite 202, Box 50, Brunswick, ME 04011-2049
Phone Number
207-373-0620
Primary Taxonomy
Community/Behavioral Health · 251S00000X
Organization Subpart
No
Authorized Official
William Beattie, LCSW · State Executive Director · 207-373-0620
Provider Enumeration Date
May 23, 2012
Last Update Date
May 23, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
14 Maine St
Suite 202, Box 50
Brunswick, ME 04011-2049
State
Maine
Zip
04011-2049
Phone Number
207-373-0620
Brunswick, ME 04011Get directions →

Provider Business Mailing Address Details

Address
14 Maine St
Suite 202, Box 50
Brunswick, ME 04011-2049
City
Brunswick
State
ME
Zip
04011-2049
Phone Number
207-373-0620

License Information

License Number
392123
License State
ME
Taxonomy
Community/Behavioral Health · 251S00000X · 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 Providence Service Corporation Of Maine?

The NPI number of Providence Service Corporation Of Maine is 1629338769. It was assigned on May 23, 2012 and is currently active in the NPPES registry.

What is the specialty of Providence Service Corporation Of Maine?

Providence Service Corporation Of Maine is registered under the primary taxonomy Community/Behavioral Health (code 251S00000X), licensed in ME under license number 392123.

Where does Providence Service Corporation Of Maine practice?

The practice location is 14 Maine St, Suite 202, Box 50, Brunswick, ME 04011-2049. The office can be reached at 207-373-0620 (phone).

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 1629338769 directly on the NPPES registry website.

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