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CHILDREN'S CENTER: EARLY INTERVENTION AND FAMILY SUPPORT INC. NPI 1174763411


NPI Information

NPI: 1174763411
Provider Name: CHILDREN'S CENTER: EARLY INTERVENTION AND FAMILY SUPPORT, INC.
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
1 ALDEN AVE
AUGUSTA, ME
ZIP 04330
Phone: (207) 626-3497
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CHILDREN'S CENTER: EARLY INTERVENTION AND FAMILY SUPPORT, INC. is a specialist in Augusta, ME. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CHILDREN'S CENTER: EARLY INTERVENTION AND FAMILY SUPPORT, INC. NPI is 1174763411. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1 ALDEN AVE
AUGUSTA, ME
ZIP 04330-185
Phone: (207) 626-3497
Fax: (207) 621-6211

The provider's authorized official is Jonathan H. Leach .
The authorized official title is Executive Director and has the following contact phone number (207) 626-3497.

The enumeration date for this NPI number is 2/26/2009 and was last updated on 2/26/2009.


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
1174400000XSpecialistYes

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
1103730400MEDICAIDMAINE
2103730000MEDICAIDMAINE
3103730300MEDICAIDMAINE
4103730200MEDICAIDMAINE
5103730100MEDICAIDMAINE

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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