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Contact Information

ROSS MANOR ASSOCIATES
758 BROADWAY
BANGOR, ME04401-3224
 Phone: 207-874-2700
 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 ROSS MANOR ASSOCIATES

NPI Number 1962499053
LBN Legal business name ROSS MANOR ASSOCIATES
Authorized official KENNETH BOWDEN - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 10/04/2005
Last updated 05/19/2009 - About 17 years ago
Identifiers
ME License # 1988
ME License # 2099
ME Medicaid 120640000
ME Medicaid 120640001
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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