MEDICARE: CENTRAL AROOSTOOK ASSOCIATION

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	251300000X	Local Education Agency (LEA)
2	251B00000X	Case Management Agency		ME

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	102910104	OTHER	ME	MAINECARE PROVIDER ID#
2	102910000	OTHER	ME	MAINECARE PROVIDER ID#
3	102910102	OTHER	ME	MAINECARE PROVIDER ID#
4	431595700	OTHER	ME	MAINECARE PROVIDER BILLING ID#
5	102910101	OTHER	ME	MAINECARE PROVIDER ID#
6	102910200	OTHER	ME	MINECARE PROVIDER ID#
7	102910100	OTHER	ME	MAINECARE PROVIDER ID#
8	102910001	OTHER	ME	MAINECARE PROVIDER ID#
9	102910105	OTHER	ME	MAINECARE PROVIDER ID#
10	432812600	OTHER	ME	MIANECARE PROVIDER ID#

General Provider Information

NPI Number	:	1902043839
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTRAL AROOSTOOK ASSOCIATION

Provider Business Mailing Address
First Line	:	PO BOX 1245
Second Line	:
City	:	PRESQUE ISLE
State	:	ME
Zip	:	04769-1245
Country	:	US
Telephone Number	:	207-764-0134
Fax Number	:	207-554-4569

Provider Business Practice Location Address
First Line	:	25 LOMBARD ST
Second Line	:
City	:	PRESQUE ISLE
State	:	ME
Zip	:	04769-2447
Country	:	US
Telephone Number	:	207-764-0134
Fax Number	:	207-764-5543

Authorized Official
Title or Position	:	ACCOUNTING MANAGER
Name	:	CLAYTON ENDY
Credential	:
Telephone Number	:	207-554-4549

Provider Enumeration Date	:	01/14/2009
Last Update Date	:	01/06/2026

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Directions to “CENTRAL AROOSTOOK ASSOCIATION ” Practice Location

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