NPI Code Detail JSON Logo

1174769822 NPI number — 3RIVERS, INC.

NPI Number: 1174769822
Health Care Provider/Practitioner: 3RIVERS, INC.

Information about “1174769822” NPI (3RIVERS, INC.) exists in 1174769822 in HTML format HTML  |  1174769822 in plain Text format TXT  |  1174769822 in PDF (Portable Document Format) PDF  |  1174769822 in an XML format XML  formats.

NPI Number : 1174769822 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1174769822",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "3RIVERS, INC.",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "15 SAUNDERS WAY",
    "SecondLineMailingAddress": "SUITE 500G",
    "MailingAddressCityName": "WESTBROOK",
    "MailingAddressStateName": "ME",
    "MailingAddressPostalCode": "04092-4833",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "207-523-5170",
    "MailingAddressFaxNumber": "207-854-1787",
    "FirstLinePracticeLocationAddress": "15 SAUNDERS WAY",
    "SecondLinePracticeLocationAddress": "SUITE 500G",
    "PracticeLocationAddressCityName": "WESTBROOK",
    "PracticeLocationAddressStateName": "ME",
    "PracticeLocationAddressPostalCode": "04092-4833",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "207-523-5170",
    "PracticeLocationAddressFaxNumber": "207-854-1787",
    "EnumerationDate": "12/31/2008",
    "LastUpdateDate": "07/16/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MAYBERRY",
    "AuthorizedOfficialFirstName": "ANN-MARIE",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CEO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "207-523-5171",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "320900000X",
          "TaxonomyName": "Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility",
          "LicenseNumber": "ALLS2704",
          "LicenseNumberStateCode": "ME",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "320900000X",
          "TaxonomyName": "Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility",
          "LicenseNumber": "ALLS2699",
          "LicenseNumberStateCode": "ME",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "320900000X",
          "TaxonomyName": "Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility",
          "LicenseNumber": "ALLS2706",
          "LicenseNumberStateCode": "ME",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "320900000X",
          "TaxonomyName": "Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility",
          "LicenseNumber": "ALLS3093",
          "LicenseNumberStateCode": "ME",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "320900000X",
          "TaxonomyName": "Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility",
          "LicenseNumber": "ALLS3094",
          "LicenseNumberStateCode": "ME",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "320900000X",
          "TaxonomyName": "Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility",
          "LicenseNumber": "ALLS3206",
          "LicenseNumberStateCode": "ME",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "320900000X",
          "TaxonomyName": "Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility",
          "LicenseNumber": "ALLS3183",
          "LicenseNumberStateCode": "ME",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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