Preble Street Resource Center - Logan Place

LBN: Preble Street Resource Center - Logan Place
Preble Street Resource Center - Logan Place is an health care organization with primary practice located at 52 Fredric Street , Portland ME 04104. The organization recently has only one registered license in Agencies / Case Management, which is considered as the primary health care specialty. Preble Street Resource Center - Logan Place can be contacted via phone (207) 775-0026, or through Swann, Mark via phone (207) 775-0026.

Contact Information

Primary practice address
52 Fredric Street Portland ME 04104
Phone: (207) 775-0026
Fax: (207) 842-3614
Website:
Map and Directions
Authorized official contact:
Name: Swann, Mark
Phone: (207) 775-0026

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X

Profile Details

NPI number 1578713897
LBN Legal business name Preble Street Resource Center - Logan Place
DBA Doing business as
Authorized official Swann, Mark
Entity Organization
Organization subpart 1 No
Enumeration date Sep 23rd, 2008
Last updated Sep 23rd, 2008 - about 17 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 1578713897 NPPES
Maine MEDICAID 431576201

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