GOODWILL INDUSTRIES OF NORTHERN NEW ENGLAND NPI 1588785463

NPI Information

NPI: 1588785463
Provider Name: GOODWILL INDUSTRIES OF NORTHERN NEW ENGLAND

Former Legal Business Name: GOODWILL OF MAINE

Classification: Clinic/Center - 261QR0401X
Entity Type: Organization

Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

Address:
75 WASHINGTON AVENUE
SUITE 300
PORTLAND, ME
ZIP 04101
Phone: (207) 774-6323
Get Directions

GOODWILL INDUSTRIES OF NORTHERN NEW ENGLAND is a rehabilitation and comprehensive outpatient rehabilitation facility (corf) clinic center in Portland, ME. GOODWILL INDUSTRIES OF NORTHERN NEW ENGLAND NPI is 1588785463. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Goodwill Of Maine.

The provider's business location address is:

75 WASHINGTON AVENUE
SUITE 300
PORTLAND, ME
ZIP 04101
Phone: (207) 774-6323
Fax: (207) 761-8460

The provider's authorized official is Sharlene Adams .
The authorized official title is Senior Director, Clinical Svc and has the following contact phone number (207) 795-6110.

The enumeration date for this NPI number is 4/2/2007 and was last updated on 7/22/2014.

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	Primary
1	251S00000X	Community/Behavioral Health		No
2	231H00000X	Audiologist		No
3	261QR0400X	Clinic/Center	Rehabilitation	No
4	103TP2701X	Psychologist	Group Psychotherapy	No
5	225100000X	Physical Therapist		No
6	225X00000X	Occupational Therapist		No
7	225XN1300X	Occupational Therapist	Neurorehabilitation	No
8	261QR0401X	Clinic/Center	Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)	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	GOME1014	MEDICARE ID-TYPE UNSPECIFIED	MAINE	WESTSIDE OT
2	104490002	MEDICAID	MAINE
3	104490100	MEDICAID	MAINE
4	104490301	MEDICAID	MAINE
5	GOME1030	MEDICARE ID-TYPE UNSPECIFIED	MAINE	WESTSIDE MULTI
6	104490000	MEDICAID	MAINE
7	104490001	MEDICAID	MAINE
8	GOME 1020	MEDICARE ID-TYPE UNSPECIFIED	MAINE	BAYSIDE OT
9	104490300	MEDICAID	MAINE
10	GOME1025	MEDICARE ID-TYPE UNSPECIFIED	MAINE	BAYSIDE PT
11	GOME1040	MEDICARE ID-TYPE UNSPECIFIED	MAINE	BAYSIDE MULTI
12	104490302	MEDICAID	MAINE
13	104490303	MEDICAID	MAINE
14	104490201	MEDICAID	MAINE
15	104490200	MEDICAID	MAINE
16	GOME 1018	MEDICARE ID-TYPE UNSPECIFIED	MAINE	WESTSIDE PT

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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