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KENNEBEC VALLEY MENTAL HEALTH CENTER NPI 1740513282


NPI Information

NPI: 1740513282
Provider Name: KENNEBEC VALLEY MENTAL HEALTH CENTER

Doing Business As: KENNEBEC BEHAVIORAL HEALTH

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
67 EUSTIS PKWY
WATERVILLE, ME
ZIP 04901
Phone: (207) 873-2136
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KENNEBEC VALLEY MENTAL HEALTH CENTER is a community based residential treatment facility mental illness in Waterville, ME. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. KENNEBEC VALLEY MENTAL HEALTH CENTER NPI is 1740513282. The provider is registered as an organization entity type.
The provider Is Doing Business As Kennebec Behavioral Health.

The provider's business location address is:

67 EUSTIS PKWY
WATERVILLE, ME
ZIP 04901-173
Phone: (207) 873-2136
Fax: (207) 872-4522

The provider's authorized official is Thomas J Mcadam .
The authorized official title is Ceo and has the following contact phone number (207) 873-2136.

The enumeration date for this NPI number is 9/16/2009 and was last updated on 9/16/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320800000XCommunity Based Residential Treatment Facility, Mental Illness222762MAINEYes

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
1MM0102MEDICARE PIN
2102980002MEDICAIDMAINE

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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