Old Town Regional Day Treatment Program

LBN: Old Town School Dept.
Old Town Regional Day Treatment Program is an health care organization with primary practice located at 21 Jefferson St , Old Town ME 04468-2106. The organization recently has 2 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Agencies / Community/Behavioral Health. Agencies / Day Training, Developmentally Disabled Services is the primary health care specialty. Old Town School Dept. can be contacted via phone (207) 827-4441, or through Boucher, Anne Marie via phone (207) 827-4441.

Contact Information

Primary practice address
21 Jefferson St Old Town ME 04468-2106
Phone: (207) 827-4441
Fax: (207) 827-4449
Website:
Map and Directions
Authorized official contact:
Name: Boucher, Anne Marie
Phone: (207) 827-4441

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1316166580
LBN Legal business name Old Town School Dept.
DBA Doing business as Old Town Regional Day Treatment Program
Authorized official Boucher, Anne Marie
Entity Organization
Organization subpart 1 No
Enumeration date Apr 25th, 2007
Last updated Aug 21st, 2008 - about 18 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 1316166580 NPPES
Maine MEDICAID 136030002

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