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Contact Information

DEXTER MANOR ASSOCIATES
64 PARK ST
DEXTER, ME04930-1470
 Phone: 207-924-5516
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Occupational Medicine

261QX0100X
 

Physical Therapy

261QP2000X
 

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for DEXTER MANOR ASSOCIATES

NPI # 1487640520
LBN Legal business name DEXTER MANOR ASSOCIATES
Authorized official KENNETH BOWDEN - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 09/23/2005
Last updated 02/28/2018 - About 8 years ago
Identifiers
ME License # 36344
ME License # 36625
ME Medicaid 119080000
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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