National Provider Identifier Database

MERRIMACK RIVER MEDICAL SERVICES INC
Rehabilitation, Substance Use Disorder


Contact Information

MERRIMACK RIVER MEDICAL SERVICES, INC.
2300 CONGRESS ST
PORTLAND, ME04102-1908
Phone: 207-221-2292
Fax: 207-221-2297
Website:
Specialty Taxonomy Code
* Rehabilitation, Substance Use Disorder 261QR0405X
Methadone 261QM2800X

* Indicates primary specialty

NPI Profile & details for MERRIMACK RIVER MEDICAL SERVICES, INC.

NPI Number 1912233826
Legal business name
LBN
MERRIMACK RIVER MEDICAL SERVICES, INC.
Authorized official BRUCE JARVIE - (VP, TREASURER)
Entity Organization
Organization subpart No
Enumeration date 10/28/2009
Last updated 07/29/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • ME Medicaid: 151640000

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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