MRS. SANDRA SUE BERUBE


Address: 396 Country Club Rd, Sanford, ME 04073-5226
Phone: 2076083198

MRS. SANDRA SUE BERUBE (NPI# 1326441361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326441361
Entity Type Individual
Full Name MRS. SANDRA SUE BERUBE
Practice Address 396 Country Club Rd
Sanford
ME 04073-5226
Practice Telephone 2076083198
Mailing Telephone 2076083198
Enumeration Date 2014-10-05
Last Update Date 2014-10-05
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 246RP1900X Technician, Pathology
Specialization: Phlebotomy
ME Technologists, Technicians & Other Technical Service Providers
N 246Z00000X Specialist/Technologist, Other ME Technologists, Technicians & Other Technical Service Providers
Y 261QP2300X Clinic/Center
Specialization: Primary Care
ME Ambulatory Health Care Facilities

Office Location

Street Address 396 COUNTRY CLUB RD
City SANFORD
State ME
Zip Code 04073-5226

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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

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1659571404 Primary Care Associates of Florida LLC Clinic/Center 1403 Medical Plaza Dr, Suite 107, Sanford, FL 32771-1000 2007-07-20

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1447693965 Charette Primary Health Care Clinic/Center 1063 Allagash Rd Ste 1, Allagash, ME 04774-4010 2013-04-15
1912160839 Sebasticook Valley Hospital Clinic/Center 447 Main Rd, Carmel, ME 04419-3547 2008-07-10
1184788721 Community Health and Counseling Services Clinic/Center 52 Christian Ridge Rd Ste B, Ellsworth, ME 04605 2006-12-20
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Competitor

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City SANFORD
Zip Code 04073

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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