AUGUSTA SCHOOL BASED HEALTH CENTER NPI 1497054191

NPI Information

NPI: 1497054191
Provider Name: AUGUSTA SCHOOL BASED HEALTH CENTER

Other Name: CONY SCHOOL BASED HEALTH CENTER

Classification: Clinic/Center - 261QS1000X
Entity Type: Organization

Specialization: Student Health

CLIA Number: 20D2201240

Address:
60 PIERCE DR
AUGUSTA, ME
ZIP 04330
Phone: (207) 620-8345
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AUGUSTA SCHOOL BASED HEALTH CENTER is a student health clinic center in Augusta, ME. AUGUSTA SCHOOL BASED HEALTH CENTER NPI is 1497054191. The provider is registered as an organization entity type.
The provider Other Name Is Cony School Based Health Center.

The provider's business location address is:

60 PIERCE DR
AUGUSTA, ME
ZIP 04330-619
Phone: (207) 620-8345

The provider's authorized official is Tina Meserve .
The authorized official title is Administrator and has the following contact phone number (207) 626-2468.

The CLIA number assigned to this NPI record is 20D2201240 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/21/2011 and was last updated on 3/21/2011.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QS1000X	Clinic/Center	Student Health	2097	MAINE	Yes

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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