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Contact Information

NORTHERN MAINE GENERAL
3388 AROOSTOOK ROAD
EAGLE LAKE, ME04739-0310
 Phone: 207-444-5152
 Fax: 207-444-6099
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Day Training, Developmentally Disabled Services

251C00000X
Indicates primary specialty

NPI Profile & details for NORTHERN MAINE GENERAL

NPI # 1700025954
LBN Legal business name NORTHERN MAINE GENERAL
Authorized official REYNOLD RAYMOND - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 02/11/2009
Last updated 02/11/2009 - About 17 years ago
Identifiers
ME Medicaid 102850200
ME Medicaid 102850401
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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