Northern Maine General
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Eagle Lake, Maine
1912108168- Practice location
- 31 Devoe Brook RD, Eagle Lake, ME 04739-0310
- Phone
- 207-444-5152
- Fax
- 207-444-6099
- Last updated
- August 22, 2020
Northern Maine General is a healthcare organization based in Eagle Lake, ME. Northern Maine General practices in Eagle Lake, ME. The NPI Number for Northern Maine General is 1912108168 and holds a License No. ALLS 2226 (ME). The current practice location address for Northern Maine General is 31 Devoe Brook RD, Eagle Lake, ME 04739-0310 and can be reached out via phone at 207-444-5152 and via fax at 207-444-6099.
Provider Profile Details
- NPI Number
- 1912108168
- Provider Name
- Northern Maine General
- Provider Entity Type
- Organization
- Address
- 31 Devoe Brook RD, Eagle Lake, ME 04739-0310
- Phone Number
- 207-444-5152
- Fax Number
- 207-444-6099
- Primary Taxonomy
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities · 320600000X
- Organization Subpart
- No
- Authorized Official
- Reynold Raymond · Chief Executive Officer · 207-444-5152
- Other Names
- Kennedy Waiver Home (Doing Business As)
- Provider Enumeration Date
- May 29, 2007
- Last Update Date
- August 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 31 Devoe Brook RD
Eagle Lake, ME 04739-0310 - City
- Eagle Lake
- State
- Maine
- Zip
- 04739-0310
- Phone Number
- 207-444-5152
- Fax Number
- 207-444-6099
Provider Business Mailing Address Details
- Address
- Po Box 310
Eagle Lake, ME 04739-0310 - City
- Eagle Lake
- State
- ME
- Zip
- 04739-0310
- Phone Number
- 207-444-5152
- Fax Number
- 207-444-6099
License Information
- License Number
- ALLS 2226
- License State
- ME
- Taxonomy
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities · 320600000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers near Eagle Lake, ME
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Frequently Asked Questions
What is the NPI number of Northern Maine General?
The NPI number of Northern Maine General is 1912108168. It was assigned on May 29, 2007 and is currently active in the NPPES registry.
What is the specialty of Northern Maine General?
Northern Maine General is registered under the primary taxonomy Residential Treatment Facility, Intellectual and/or Developmental Disabilities (code 320600000X), licensed in ME under license number ALLS 2226.
Where does Northern Maine General practice?
The practice location is 31 Devoe Brook RD, Eagle Lake, ME 04739-0310. The office can be reached at 207-444-5152 (phone) or 207-444-6099 (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 1912108168 directly on the NPPES registry website.