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CITY OF PORTLAND NPI 1306071493


NPI Information

NPI: 1306071493
Provider Name: CITY OF PORTLAND

Doing Business As: BARRON CENTER ADULT DAY PROGRAM

Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
1145 BRIGHTON AVE
PORTLAND, ME
ZIP 04102
Phone: (207) 541-6500
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CITY OF PORTLAND is an adult day care clinic center in Portland, ME. CITY OF PORTLAND NPI is 1306071493. The provider is registered as an organization entity type.
The provider Is Doing Business As Barron Center Adult Day Program.

The provider's business location address is:

1145 BRIGHTON AVE
PORTLAND, ME
ZIP 04102-025
Phone: (207) 541-6500
Fax: (207) 541-6555

The provider's authorized official is Jeralyn P Logue .
The authorized official title is Principal Financial Officer and has the following contact phone number (207) 541-6500.

The enumeration date for this NPI number is 5/19/2009 and was last updated on 5/28/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA0600XClinic/CenterAdult Day CareALLS 3249MAINENo
2261QA0600XClinic/CenterAdult Day CareALLS 3248MAINEYes

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
1136040200MEDICAIDMAINE

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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