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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 Specialty Code Provider Type

Rehabilitation, Substance Use Disorder

261QR0405X
 

Methadone

261QM2800X
Indicates primary specialty

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

NPI # 1912233826
LBN Legal business name MERRIMACK RIVER MEDICAL SERVICES, INC.
Authorized official BRUCE JARVIE - (VP, TREASURER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/28/2009
Last updated 07/29/2024 - More than a year ago
Identifiers
ME Medicaid 151640000
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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