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STATE OF MAINE NPI 1386887008


NPI Information

NPI: 1386887008
Provider Name: STATE OF MAINE

Other Name: ACT TEAM

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
5 CALDWELL RD
AUGUSTA, ME
ZIP 04330
Phone: (207) 287-5747
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STATE OF MAINE is a community behavioral health in Augusta, ME. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. STATE OF MAINE NPI is 1386887008. The provider is registered as an organization entity type.
The provider Other Name Is Act Team.

The provider's business location address is:

5 CALDWELL RD
AUGUSTA, ME
ZIP 04330-011
Phone: (207) 287-5747
Fax: (207) 287-5755

The provider's authorized official is Jennifer Gagnon .
The authorized official title is Financial Manager and has the following contact phone number (207) 624-4675.

The enumeration date for this NPI number is 4/10/2009 and was last updated on 6/14/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral Health526359MAINEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1135911607MEDICAIDMAINE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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