Active NPIOrganization

Ironwood Maine

Residential Treatment Facility, Emotionally Disturbed Children in Morrill, Maine

NPI Number1770034415
Practice location
67 Captain Cushman RD, Morrill, ME 04952-5035
Fax
207-342-3791
Last updated
October 18, 2016

Ironwood Maine is a healthcare organization based in Morrill, ME. Ironwood Maine practices in Morrill, ME. The NPI Number for Ironwood Maine is 1770034415 and holds a License No. MC16161 (ME). The current practice location address for Ironwood Maine is 67 Captain Cushman RD, Morrill, ME 04952-5035 and can be reached out via phone at 207-345-3655 and via fax at 207-342-3791.

Provider Profile Details

NPI Number
1770034415
Provider Name
Ironwood Maine
Provider Entity Type
Organization
Address
67 Captain Cushman RD, Morrill, ME 04952-5035
Phone Number
207-345-3655
Fax Number
207-342-3791
Organization Subpart
No
Authorized Official
Ms. Nicole Anne Thibodeau, LMSW-CC · Clinical Therapist · 207-342-3655
Provider Enumeration Date
October 18, 2016
Last Update Date
October 18, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
67 Captain Cushman RD
Morrill, ME 04952-5035
State
Maine
Zip
04952-5035
Phone Number
207-345-3655
Fax Number
207-342-3791
Morrill, ME 04952Get directions →

Provider Business Mailing Address Details

Address
67 Captain Cushman RD
Morrill, ME 04952-5035
City
Morrill
State
ME
Zip
04952-5035
Phone Number
207-345-3655
Fax Number
207-342-3791

License Information

License Number
MC16161
License State
ME

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 Ironwood Maine?

The NPI number of Ironwood Maine is 1770034415. It was assigned on October 18, 2016 and is currently active in the NPPES registry.

What is the specialty of Ironwood Maine?

Ironwood Maine is registered under the primary taxonomy Residential Treatment Facility, Emotionally Disturbed Children (code 322D00000X), licensed in ME under license number MC16161.

Where does Ironwood Maine practice?

The practice location is 67 Captain Cushman RD, Morrill, ME 04952-5035. The office can be reached at 207-345-3655 (phone) or 207-342-3791 (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 1770034415 directly on the NPPES registry website.

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