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Contact Information

FREEPORT CONVALESCENT CENTER INC
6 OLD COUNTY RD
FREEPORT, ME04032-6231
 Phone: 207-865-4782
 Fax: 207-865-1308
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Assisted Living Facility

310400000X
 

Intermediate Care, Mental Illness

310500000X
 

Occupational Medicine

261QX0100X
 

Physical Therapy

261QP2000X
 

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for FREEPORT CONVALESCENT CENTER INC

NPI Number 1427026657
LBN Legal business name FREEPORT CONVALESCENT CENTER INC
Authorized official KENNETH BOWDEN - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 03/14/2006
Last updated 06/07/2013 - About 13 years ago
Identifiers
ME License # 2005
ME License # 2103
ME Medicaid 115110000
ME Medicaid 120030000
ME Medicaid 120030001
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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