MERRIMACK RIVER MEDICAL SERVICES NPI 1912233826

NPI Information

NPI: 1912233826
Provider Name: MERRIMACK RIVER MEDICAL SERVICES

Doing Business As: HEALTH CARE RESOURCE CENTERS

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
2300 CONGRESS ST
PORTLAND, ME
ZIP 04102
Phone: (207) 221-2292
Get Directions

MERRIMACK RIVER MEDICAL SERVICES is a rehabilitation and substance use disorder clinic center in Portland, ME. MERRIMACK RIVER MEDICAL SERVICES NPI is 1912233826. The provider is registered as an organization entity type.
The provider Is Doing Business As Health Care Resource Centers.

The provider's business location address is:

2300 CONGRESS ST
PORTLAND, ME
ZIP 04102-908
Phone: (207) 221-2292
Fax: (207) 221-2297

The provider's authorized official is Michael Saul .
The authorized official title is Vp and has the following contact phone number (214) 379-3300.

The CLIA number assigned to this NPI record is 20D2131841 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/28/2009 and was last updated on 2/13/2024.

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
1	261QM2800X	Clinic/Center	Methadone			No
2	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			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	151640000	MEDICAID	MAINE

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

NPI Synchronization or Removal

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