Active NPIOrganization

Camp Ketcha

Community/Behavioral Health in Scarborough, Maine

NPI Number1821401076
Practice location
336 Black Point RD, Scarborough, ME 04074-8676
Fax
207-885-0944
Last updated
June 5, 2014

Camp Ketcha is a healthcare organization based in Scarborough, ME. Camp Ketcha practices in Scarborough, ME. The NPI Number for Camp Ketcha is 1821401076 and holds a License No. 681191 (ME). The current practice location address for Camp Ketcha is 336 Black Point RD, Scarborough, ME 04074-8676 and can be reached out via phone at 207-883-8977 and via fax at 207-885-0944.

Provider Profile Details

NPI Number
1821401076
Provider Name
Camp Ketcha
Provider Entity Type
Organization
Address
336 Black Point RD, Scarborough, ME 04074-8676
Phone Number
207-883-8977
Fax Number
207-885-0944
Primary Taxonomy
Community/Behavioral Health · 251S00000X
Organization Subpart
No
Authorized Official
Mr. Thomas Doherty, MSW · Executive Director · 207-883-8977
Provider Enumeration Date
June 5, 2014
Last Update Date
June 5, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
336 Black Point RD
Scarborough, ME 04074-8676
State
Maine
Zip
04074-8676
Phone Number
207-883-8977
Fax Number
207-885-0944
Scarborough, ME 04074Get directions →

Provider Business Mailing Address Details

Address
336 Black Point RD
Scarborough, ME 04074-8676
City
Scarborough
State
ME
Zip
04074-8676
Phone Number
207-883-8977
Fax Number
207-885-0944

License Information

License Number
681191
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 Camp Ketcha?

The NPI number of Camp Ketcha is 1821401076. It was assigned on June 5, 2014 and is currently active in the NPPES registry.

What is the specialty of Camp Ketcha?

Camp Ketcha is registered under the primary taxonomy Community/Behavioral Health (code 251S00000X), licensed in ME under license number 681191.

Where does Camp Ketcha practice?

The practice location is 336 Black Point RD, Scarborough, ME 04074-8676. The office can be reached at 207-883-8977 (phone) or 207-885-0944 (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 1821401076 directly on the NPPES registry website.

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