State Of Maine is a Psychiatric Hospital based in Augusta, ME. State Of Maine practices in Bangor, ME. The NPI Number for State Of Maine is 1699776146 and holds a License No. (Maine).
The current practice location address for State Of Maine is 656 State St, Bangor, ME and can be reached out via phone at 207-941-4192.
Location: 656 State St, Bangor, ME, 04330-6846
Provider Profile Details
NPI Number
1699776146
Provider Name
State Of Maine
Credential
Provider Entity Type
Organization
Address
656 State St, Bangor, ME, 04330-6846
Phone Number
207-941-4192
Fax Number
Provider Enumeration Date
08/09/2005
Last Update Date
03/08/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 135910900 | 05 | ME | |
| 003288 | 01 | ME | BLUE CROSS |
Provider Business Practice Location Address Details
Address
656 State St
City
State
Zip
04401-5609
Phone Number
207-941-4192
Fax Number
Provider Business Mailing Address Details
Address
656 State St
City
State
Zip
04401-5609
Phone Number
207-941-4192
Fax Number
Provider's Taxonomy Details 1
Type
Hospitals
Classification
Psychiatric Hospital
Speciality
-
Taxonomy
License No.
()
Definition
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
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