MEDICARE: CHILD HEALTH CENTER

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
1	225X00000X	Occupational Therapist	214294	ME

General Provider Information

NPI Number	:	1871619239
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHILD HEALTH CENTER

Provider Business Mailing Address
First Line	:	199 MAIN STREET
Second Line	:
City	:	NORWAY
State	:	ME
Zip	:	04268-5639
Country	:	US
Telephone Number	:	207-743-7035
Fax Number	:	207-743-2970

Provider Business Practice Location Address
First Line	:	24 FALCON DRIVE
Second Line	:
City	:	AUBURN
State	:	ME
Zip	:	04210-4384
Country	:	US
Telephone Number	:	207-743-7035
Fax Number	:	207-743-2970

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MR. RAYMOND R HATCH
Credential	:
Telephone Number	:	207-743-7035

Provider Enumeration Date	:	03/21/2007
Last Update Date	:	08/22/2020

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Directions to “CHILD HEALTH CENTER ” Practice Location

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