Good Samaritan Agency

LBN: Good Samaritan Agency
Good Samaritan Agency is an health care organization with primary practice located at 100 Ridgewood Dr , Bangor ME 04401-2652. The organization recently has only one registered license in Agencies / Case Management, which is considered as the primary health care specialty. Good Samaritan Agency can be contacted via phone (207) 942-7211, or through Giguere, Deborah A via phone (207) 942-7211.

Contact Information

Primary practice address
100 Ridgewood Dr Bangor ME 04401-2652
Phone: (207) 942-7211
Fax: (207) 990-0851
Website:
Map and Directions
Authorized official contact:
Name: Giguere, Deborah A L.S.W.
Phone: (207) 942-7211

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X LS5224 Maine
Agencies / Case Management 251B00000X LS6833 Maine
Agencies / Case Management 251B00000X LS5190 Maine
Agencies / Case Management 251B00000X LS1479 Maine

Profile Details

NPI number 1154565141
LBN Legal business name Good Samaritan Agency
DBA Doing business as
Authorized official Giguere, Deborah A L.S.W.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 22nd, 2009
Last updated Apr 22nd, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154565141 NPPES
Maine MEDICAID 101800100

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