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NPI Code Detail

MEDICARE: BECKET ACADEMY INC.

MEDICARE: BECKET ACADEMY INC.
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
1253Z00000XIn Home Supportive Care Agency
2323P00000XPsychiatric Residential Treatment Facility
3322D00000XEmotionally Disturbed Childrens' Residential Treatment Facility

Other Identifiers

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

General Provider Information

NPI Number : 1619171923
Entity Type Code : Organization
Provider Name (Legal Business Name) : BECKET ACADEMY INC.
Provider Business Mailing Address
First Line : PO BOX 325
Second Line :
City : ORFORD
State : NH
Zip : 03777-0325
Country : US
Telephone Number : 603-353-9102
Fax Number : 603-353-9412
Provider Business Practice Location Address
First Line : 744 OAKLAND RD
Second Line :
City : BELGRADE
State : ME
Zip : 04917-3411
Country : US
Telephone Number : 207-465-4600
Fax Number : 207-465-3785
Authorized Official
Title or Position : PRESIDENT
Name : MR. JAY T. WOLTER
Credential :
Telephone Number : 603-353-9102
Provider Enumeration Date : 06/12/2007
Last Update Date : 06/13/2019

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Directions to “BECKET ACADEMY INC. ” Practice Location

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