Spruce Run - Th Program

LBN: Spruce Run - Th Program
Spruce Run - Th Program is an health care organization with primary practice located at 77 Essex , Bangor ME 04402. The organization recently has only one registered license in Agencies / Case Management, which is considered as the primary health care specialty. Spruce Run - Th Program can be contacted via phone (207) 945-5102, or through Martel, Dorathy via phone (207) 945-5102.

Contact Information

Primary practice address
77 Essex Bangor ME 04402
Phone: (207) 945-5102
Fax: (207) 990-4252
Website:
Map and Directions
Authorized official contact:
Name: Martel, Dorathy
Phone: (207) 945-5102

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X

Profile Details

NPI number 1619114634
LBN Legal business name Spruce Run - Th Program
DBA Doing business as
Authorized official Martel, Dorathy
Entity Organization
Organization subpart 1 No
Enumeration date Jan 13th, 2009
Last updated Jan 13th, 2009 - 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 1619114634 NPPES
Maine MEDICAID 432212700

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