MEDICARE: 3RIVERS, INC.

Medicare Provider Information

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251C00000X	Developmentally Disabled Services Day Training Agency
2	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
12	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
13	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

NPI Number	:	1063473866
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	3RIVERS, INC.

Provider Business Mailing Address
First Line	:	15 SAUNDERS WAY STE 500G
Second Line	:
City	:	WESTBROOK
State	:	ME
Zip	:	04092-4834
Country	:	US
Telephone Number	:	207-523-5170
Fax Number	:	207-854-1787

Provider Business Practice Location Address
First Line	:	25 WINTER ST
Second Line	:
City	:	GARDINER
State	:	ME
Zip	:	04345-1905
Country	:	US
Telephone Number	:	207-582-8021
Fax Number	:	207-582-2457

Authorized Official
Title or Position	:	CEO
Name	:	ANN-MARIE MAYBERRY
Credential	:
Telephone Number	:	207-523-5171

Provider Enumeration Date	:	03/31/2006
Last Update Date	:	07/16/2025