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Contact Information

LEARNINGWORKS (FORMERLY PORTLAND WEST)
181 BRACKETT ST.
PORTLAND, ME04102
 Phone: 207-775-0105
 Fax: 207-775-1392
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for LEARNINGWORKS (FORMERLY PORTLAND WEST)

NPI # 1154595684
LBN Legal business name LEARNINGWORKS (FORMERLY PORTLAND WEST)
Authorized official ROBERT DODGE - (CHIEF FINANCIAL OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/16/2008
Last updated 10/02/2012 - About 14 years ago
Identifiers
ME License # 566270
ME Medicaid 135530099
ME Medicaid 432302099
ME Medicaid 432506499
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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