NORTH COUNTRY ASSOCIATES INC NPI 1871653949

NPI Information

  • NPI: 1871653949
  • Provider Name: NORTH COUNTRY ASSOCIATES, INC
  • Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
  • Entity Type: Organization
  • Doing Business As: NORTHLAND LIVING CENTER
  • CLIA Number: 20D0649607
  • Address: 382 MAIN ST
    JACKMAN, ME
    ZIP 04945
  • Phone: (207) 668-3221

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NPI Details

NORTH COUNTRY ASSOCIATES, INC is an intermediate care facility mentally retarded in Jackman, ME. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. NORTH COUNTRY ASSOCIATES, INC NPI is 1871653949. The provider is registered as an organization entity type.
The provider Is Doing Business As Northland Living Center.

The provider's business location address is:

382 MAIN ST
JACKMAN, ME
ZIP 04945-214
Phone: (207) 668-3221
Fax: (207) 668-4159

The provider's authorized official is Glen G Cyr .
The authorized official title is Vp Of Finance and has the following contact phone number (207) 786-3554.

The CLIA number assigned to this NPI record is 20D0649607 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/11/2006 and was last updated on 8/22/2020.

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
1315P00000XIntermediate Care Facility, Intellectual Disabilities36354MAINEYes

What is NPI?

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This page was last updated on: 11/21/2025

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