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NPI Code Detail

MEDICARE: CAMDEN OPERATIONS, LLC

MEDICARE: CAMDEN OPERATIONS, LLC
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility1984ME

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1346302635
Entity Type Code : Organization
Provider Name (Legal Business Name) : CAMDEN OPERATIONS, LLC
Provider Business Mailing Address
First Line : 101 E STATE ST
Second Line :
City : KENNETT SQUARE
State : PA
Zip : 19348-3109
Country : US
Telephone Number : 610-925-4436
Fax Number : 610-925-4351
Provider Business Practice Location Address
First Line : 105 MECHANIC ST
Second Line :
City : CAMDEN
State : ME
Zip : 04843-1811
Country : US
Telephone Number : 207-236-4197
Fax Number : 207-280-0563
Authorized Official
Title or Position : ASSISTANT SECRETARY
Name : MICHAEL BERG
Credential :
Telephone Number : 610-925-6350
Provider Enumeration Date : 12/14/2006
Last Update Date : 01/20/2023

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Directions to “CAMDEN OPERATIONS, LLC ” Practice Location

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