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Contact Information

DAMARISCOTTA
767 MAIN STREET 1A
DAMARISCOTTA, ME04543
 Phone: 207-563-3044
 Fax: 207-563-8276
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Local Education Agency (LEA)

251300000X
Indicates primary specialty

NPI Profile & details for DAMARISCOTTA

NPI # 1255545018
LBN Legal business name DAMARISCOTTA
Authorized official DERYL HOLT - (DIRECTOR OF SPECIAL SERVICES)
Entity Organization
Organization subpart 1 No
Enumeration date 05/10/2007
Last updated 11/17/2009 - About 17 years ago
Identifiers
ME Medicaid 136420000
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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