| State Of Maine | |
|
5 Caldwell Rd Augusta ME 04330-0011 | |
| (207) 287-5747 | |
| (207) 287-5755 |
| Full Name | State Of Maine |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5 Caldwell Rd, Augusta, Maine |
| Authorized Official Name and Position | Jennifer Gagnon (FINANCIAL MANAGER) |
| Authorized Official Contact | 2076244675 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| State Of Maine 109 Capitol Street Shs#11 Reimbursement Unit Augusta ME 04333-0011 Ph: (207) 287-7418 | State Of Maine 5 Caldwell Rd Augusta ME 04330-0011 Ph: (207) 287-5747 |
| NPI Number | 1386887008 |
|---|---|
| Provider Enumeration Date | 04/10/2009 |
| Last Update Date | 06/14/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386887008 | NPI | - | NPPES |
| 135911607 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 526359 (Maine) | Primary |
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