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NPI Code Detail

MEDICARE: UNITED CEREBRAL PALSY OF NORTHEASTERN MAINE

MEDICARE: UNITED CEREBRAL PALSY OF NORTHEASTERN MAINE
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
1251300000XLocal Education Agency (LEA)4036849ME

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 : 1093933558
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNITED CEREBRAL PALSY OF NORTHEASTERN MAINE
Provider Business Mailing Address
First Line : 700 MOUNT HOPE AVE STE 320
Second Line : SUITE 320
City : BANGOR
State : ME
Zip : 04401-5680
Country : US
Telephone Number : 207-941-2952
Fax Number : 207-941-2955
Provider Business Practice Location Address
First Line : 700 MOUNT HOPE AVE STE 320
Second Line : SUITE 320
City : BANGOR
State : ME
Zip : 04401-5680
Country : US
Telephone Number : 207-941-2952
Fax Number : 207-941-2955
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MRS. BOBBI-JO YEAGER
Credential :
Telephone Number : 207-941-2952
Provider Enumeration Date : 04/23/2007
Last Update Date : 10/03/2008

Similar Medicare Providers

1992877765 — MS. KATHARINE J DISALVATORE FORTIN MA
Practice Location Address:
700 MOUNT HOPE AVE STE 320
BANGOR, ME
04401-5680
Practice Phone: 207-941-2952
Practice Fax: 207-941-2955
1447452362 — MS. CLAIRE E DONOVAN PT
Practice Location Address:
700 MT HOPE AVE , SUITE 320
BANGOR, ME
04401-5680
Practice Phone: 207-941-2952
Practice Fax: 207-941-2955
1235331166 — JENNIFER LYNN WILSON OTAL
Practice Location Address:
700 MT HOPE AVE , SUITE 320
BANGOR, ME
04401-5680
Practice Phone: 207-941-2952
Practice Fax: 207-941-2955
1477755395 — ROSA SYLVIA LIVONIUS OT
Practice Location Address:
700 MOUNT HOPE AVE STE 320
BANGOR, ME
04401-5680
Practice Phone: 207-941-2952
Practice Fax: 207-941-2955
1497957021 — UCP OF NORTHEASTERN MAINE
Practice Location Address:
700 MOUNT HOPE AVE STE 320
BANGOR, ME
04401-5680
Practice Phone: 207-941-2952
Practice Fax: 207-941-2955
1962604595 — UCP OF NORTHEASTERN MAINE
Practice Location Address:
700 MOUNT HOPE AVE STE 320
BANGOR, ME
04401-5680
Practice Phone: 207-941-2952
Practice Fax: 207-941-2955

Directions to “UNITED CEREBRAL PALSY OF NORTHEASTERN MAINE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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