Goodwill Of Maine

LBN: Goodwill Industries Of Northern New England
Goodwill Of Maine is an health care organization with primary practice located at 75 Washington Avenue Suite 300, Portland ME 04101. The organization recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Group Psychotherapy, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurorehabilitation, Speech, Language and Hearing Service Providers / Audiologist, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Rehabilitation, Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF). Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) is the primary health care specialty. Goodwill Industries Of Northern New England can be contacted via phone (207) 774-6323, or through Adams, Sharlene via phone (207) 795-6110.

Contact Information

Primary practice address
75 Washington Avenue Suite 300 Portland ME 04101
Phone: (207) 774-6323
Fax: (207) 761-8460
Website:
Map and Directions
Authorized official contact:
Name: Adams, Sharlene CBIST, LSX
Phone: (207) 795-6110

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurorehabilitation 225XN1300X
Speech, Language and Hearing Service Providers / Audiologist 231H00000X
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X
Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X

Profile Details

NPI number 1588785463
LBN Legal business name Goodwill Industries Of Northern New England
DBA Doing business as Goodwill Of Maine
Authorized official Adams, Sharlene CBIST, LSX
Entity Organization
Organization subpart 1 No
Enumeration date Apr 2nd, 2007
Last updated Jul 22nd, 2014 - about 12 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 1588785463 NPPES
Maine MEDICAID 104490002
Maine MEDICAID 104490100
Maine MEDICAID 104490300
Maine MEDICAID 104490303
Maine MEDICAID 104490000
Maine MEDICAID 104490200
Maine MEDICAID 104490001
Maine MEDICAID 104490301
Maine MEDICAID 104490201
Maine MEDICAID 104490302

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