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PROVIDENCE SERVICE CORPORATION OF MAINE NPI 1629338769


NPI Information

NPI: 1629338769
Provider Name: PROVIDENCE SERVICE CORPORATION OF MAINE
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
14 MAINE ST
SUITE 202, BOX 50
BRUNSWICK, ME
ZIP 04011
Phone: (207) 373-0620
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PROVIDENCE SERVICE CORPORATION OF MAINE is a community behavioral health in Brunswick, 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. PROVIDENCE SERVICE CORPORATION OF MAINE NPI is 1629338769. The provider is registered as an organization entity type.

The provider's business location address is:

14 MAINE ST
SUITE 202, BOX 50
BRUNSWICK, ME
ZIP 04011-049
Phone: (207) 373-0620

The provider's authorized official is William Beattie .
The authorized official title is State Executive Director and has the following contact phone number (207) 373-0620.

The enumeration date for this NPI number is 5/23/2012 and was last updated on 5/23/2012.


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
1251S00000XCommunity/Behavioral Health392123MAINEYes

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
1191700000MEDICAIDMAINE

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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