- Practice location
- 2 Davenport Cir, Suite 4; Achieve Program, Bath, ME 04530-2880
- Phone
- 207-443-6200
- Fax
- —
- Last updated
- December 5, 2012
Providence Service Corporation is a healthcare organization based in Bath, ME. Providence Service Corporation practices in Bath, ME. The NPI Number for Providence Service Corporation is 1710222534 and holds a License No. 392123 (ME). The current practice location address for Providence Service Corporation is 2 Davenport Cir, Suite 4; Achieve Program, Bath, ME 04530-2880 and can be reached out via phone at 207-443-6200.
Provider Profile Details
- NPI Number
- 1710222534
- Provider Name
- Providence Service Corporation
- Provider Entity Type
- Organization
- Address
- 2 Davenport Cir, Suite 4; Achieve Program, Bath, ME 04530-2880
- Phone Number
- 207-443-6200
- Primary Taxonomy
- Community/Behavioral Health · 251S00000X
- Organization Subpart
- No
- Authorized Official
- Nicole Zenga · Director Of Operations · 207-373-0620
- Provider Enumeration Date
- December 5, 2012
- Last Update Date
- December 5, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2 Davenport Cir
Suite 4; Achieve Program
Bath, ME 04530-2880 - City
- Bath
- State
- Maine
- Zip
- 04530-2880
- Phone Number
- 207-443-6200
Provider Business Mailing Address Details
- Address
- Po Box 758866
Baltimore, MD 21275-8866 - City
- Baltimore
- State
- MD
- Zip
- 21275-8866
- Phone Number
- 207-373-0620
License Information
- License Number
- 392123
- License State
- ME
- Taxonomy
- Community/Behavioral Health · 251S00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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?
The NPI number of Providence Service Corporation is 1710222534. It was assigned on December 5, 2012 and is currently active in the NPPES registry.
What is the specialty of Providence Service Corporation?
Providence Service Corporation is registered under the primary taxonomy Community/Behavioral Health (code 251S00000X), licensed in ME under license number 392123.
Where does Providence Service Corporation practice?
The practice location is 2 Davenport Cir, Suite 4; Achieve Program, Bath, ME 04530-2880. The office can be reached at 207-443-6200 (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 1710222534 directly on the NPPES registry website.