MEDICARE: QUARRY HILL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	311500000X	Alzheimer Center (Dementia Center)
2	313M00000X	Nursing Facility/Intermediate Care Facility
3	310400000X	Assisted Living Facility

Other Identifiers

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

General Provider Information

NPI Number	:	1124018312
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QUARRY HILL

Provider Business Mailing Address
First Line	:	4 WHITE ST
Second Line	:
City	:	ROCKLAND
State	:	ME
Zip	:	04841-2953
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	30 COMMUNITY DR
Second Line	:
City	:	CAMDEN
State	:	ME
Zip	:	04843-2064
Country	:	US
Telephone Number	:	207-230-6100
Fax Number	:

Authorized Official
Title or Position	:	FISCAL SERVICES
Name	:	JADA BEARDSLEY
Credential	:
Telephone Number	:	207-594-6751

Provider Enumeration Date	:	10/27/2005
Last Update Date	:	10/26/2009

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Directions to “QUARRY HILL ” Practice Location

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