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NPI Code Detail

MEDICARE: SPURWINK SERVICES INCORPORATED

MEDICARE: SPURWINK SERVICES INCORPORATED
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
1251B00000XCase Management Agency229881ME
2261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)229881ME

General Provider Information

NPI Number : 1760507297
Entity Type Code : Organization
Provider Name (Legal Business Name) : SPURWINK SERVICES INCORPORATED
Provider Business Mailing Address
First Line : 901 WASHINGTON AVE STE 100
Second Line :
City : PORTLAND
State : ME
Zip : 04103-2842
Country : US
Telephone Number : 207-871-1200
Fax Number : 207-871-1232
Provider Business Practice Location Address
First Line : 62 ELM ST
Second Line :
City : PORTLAND
State : ME
Zip : 04101-3091
Country : US
Telephone Number : 207-773-7811
Fax Number : 207-871-1232
Authorized Official
Title or Position : PRESIDENT
Name : ERIC MEYER
Credential : LCSW
Telephone Number : 207-871-1200
Provider Enumeration Date : 03/21/2007
Last Update Date : 03/10/2021

Similar Medicare Providers

1699634345 — STEVEN COLE
Practice Location Address:
62 ELM ST
PORTLAND, ME
04101-3091
Practice Phone: 207-535-2096
Practice Fax:
1962360891 — CHRISTINA RICCIO KESSLER PMHNP
Practice Location Address:
62 ELM ST
PORTLAND, ME
04101-3091
Practice Phone: 207-535-2096
Practice Fax:
1518937242 — DR. JUDSON D. SMITH ED.D.
Practice Location Address:
62 ELM ST
PORTLAND, ME
04101-3091
Practice Phone: 207-553-7056
Practice Fax: 207-773-2082
1275570400 — JENNIFER M TINGLEY PRINCE LCSW
Practice Location Address:
62 ELM ST
PORTLAND, ME
04101-3091
Practice Phone: 207-553-7056
Practice Fax: 207-773-2082
1669658381 — MS. MARIKA J MARLAND PMH-NP
Practice Location Address:
62 ELM ST
PORTLAND, ME
04101-3091
Practice Phone: 207-773-7811
Practice Fax: 207-773-0663
1285956144 — REBECCA DIGGINS LCSW
Practice Location Address:
62 ELM ST , SUITE 1
PORTLAND, ME
04101-3091
Practice Phone: 207-553-7056
Practice Fax: 207-773-2082

Directions to “SPURWINK SERVICES INCORPORATED ” Practice Location

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