Active NPIOrganization

Avita Stroudwater, LLC

Alzheimer Center (Dementia Center) in Westbrook, Maine

NPI Number1760816276
Practice location
320 Spring Street, Westbrook, ME 04092
Fax
207-857-9017
Last updated
September 3, 2013

Avita Stroudwater, LLC is a healthcare organization based in Westbrook, ME. Avita Stroudwater, LLC practices in Westbrook, ME. The NPI Number for Avita Stroudwater, LLC is 1760816276. The current practice location address for Avita Stroudwater, LLC is 320 Spring Street, Westbrook, ME 04092 and can be reached out via phone at 207-857-9007 and via fax at 207-857-9017.

Provider Profile Details

NPI Number
1760816276
Provider Name
Avita Stroudwater, LLC
Provider Entity Type
Organization
Address
320 Spring Street, Westbrook, ME 04092
Phone Number
207-857-9007
Fax Number
207-857-9017
Primary Taxonomy
Alzheimer Center (Dementia Center) · 311500000X
Organization Subpart
No
Authorized Official
Mr. Shawn Bertram · Vice President Of Operations · 781-272-2424
Other Names
Avita Of Stroudwater (Doing Business As)
Provider Enumeration Date
September 3, 2013
Last Update Date
September 3, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
320 Spring Street
Westbrook, ME 04092
State
Maine
Zip
04092
Phone Number
207-857-9007
Fax Number
207-857-9017
Westbrook, ME 04092Get directions →

Provider Business Mailing Address Details

Address
71 3RD Ave
Burlington, MA 01803-4430
City
Burlington
State
MA
Zip
01803-4430
Phone Number
781-272-2424

License Information

Taxonomy
Alzheimer Center (Dementia Center) · 311500000X · 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 Avita Stroudwater, LLC?

The NPI number of Avita Stroudwater, LLC is 1760816276. It was assigned on September 3, 2013 and is currently active in the NPPES registry.

What is the specialty of Avita Stroudwater, LLC?

Avita Stroudwater, LLC is registered under the primary taxonomy Alzheimer Center (Dementia Center) (code 311500000X).

Where does Avita Stroudwater, LLC practice?

The practice location is 320 Spring Street, Westbrook, ME 04092. The office can be reached at 207-857-9007 (phone) or 207-857-9017 (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 1760816276 directly on the NPPES registry website.

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