STATE OF MAINE NPI 1699776146

NPI Information

STATE OF MAINE is a psychiatric hospital in Bangor, ME. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. STATE OF MAINE NPI is 1699776146. The provider is registered as an organization entity type.
The provider Is Doing Business As Dorothea Dix Psychiatric Center.

The provider's business location address is:

656 STATE ST
BANGOR, ME
ZIP 04401-609
Phone: (207) 941-4192

The provider's authorized official is Carol Webb Cody .
The authorized official title is Financial Manager and has the following contact phone number (207) 941-4192.

The CLIA number assigned to this NPI record is 20D0089428 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/9/2005 and was last updated on 6/17/2019.

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:

Other Identifiers

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