Provider Type Icon

MID-COAST MENTAL HEALTH CENTER NPI 1376642066


NPI Information

NPI: 1376642066
Provider Name: MID-COAST MENTAL HEALTH CENTER
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 20D2218669

Address:
12 UNION ST
ROCKLAND, ME
ZIP 04841
Phone: (207) 701-4400
Get Directions

MID-COAST MENTAL HEALTH CENTER is a community behavioral health in Rockland, 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. MID-COAST MENTAL HEALTH CENTER NPI is 1376642066. The provider is registered as an organization entity type.

The provider's business location address is:

12 UNION ST
ROCKLAND, ME
ZIP 04841-739
Phone: (207) 701-4400
Fax: (207) 701-4486

The provider's authorized official is Martha Marchut .
The authorized official title is Clinical Manager and has the following contact phone number (207) 701-4400.

The CLIA number assigned to this NPI record is 20D2218669 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/21/2006 and was last updated on 12/4/2009.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251B00000XCase Management231141MAINENo
2320600000XResidential Treatment Facility, Intellectual and/or Developmental Disabilities231141MAINENo
3251S00000XCommunity/Behavioral Health231141MAINEYes

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
1104000100MEDICAIDMAINE
2104000000MEDICAIDMAINE
3104000001MEDICAIDMAINE
4104000200MEDICAIDMAINE
5093351MEDICARE PINMAINE
6104000101MEDICAIDMAINE
7104000102MEDICAIDMAINE

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: 5/5/2024

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.