PROTEA BEHAVIORAL HEALTH SERVICES NPI 1700814712

NPI Information

NPI: 1700814712
Provider Name: PROTEA BEHAVIORAL HEALTH SERVICES
Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization
Address:
33 STATE ST
BANGOR, ME
ZIP 04401
Phone: (207) 992-7010
Get Directions

PROTEA BEHAVIORAL HEALTH SERVICES is a public health or welfare in Bangor, ME. PROTEA BEHAVIORAL HEALTH SERVICES NPI is 1700814712. The provider is registered as an organization entity type.

The provider's business location address is:

33 STATE ST
BANGOR, ME
ZIP 04401-038
Phone: (207) 992-7010
Fax: (207) 992-7011

The provider's authorized official is Rowena Tessmann .
The authorized official title is Executive Director and has the following contact phone number (207) 992-7010.

The enumeration date for this NPI number is 6/29/2006 and was last updated on 8/22/2020.

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	251K00000X	Public Health or Welfare			MAINE	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	031509	OTHER	MAINE	ANTHEM FACILITY ID#
2	1003100101	MEDICAID	MAINE

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: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »