STATE OF MAINE (NPI# 1356678387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356678387 |
| Entity Type | Organization |
| Organization Name | STATE OF MAINE |
| Other Organization Name | MAINE CENTER FOR DISEASE CONTROL/DIVISION OF INFECTIOUS DESEASE/MAINE |
| Practice Address |
286 Water Street 9th Floor Augusta ME 04333-0011 |
| Practice Telephone | 2072873746 |
| Practice Fax Number | 2072878127 |
| Mailing Telephone | 2072873746 |
| Mailing Fax Number | 2072878127 |
| Enumeration Date | 2009-11-12 |
| Last Update Date | 2010-08-12 |
| Authorized Official Name | MR. JIANCHENG HUANG (DIRECTOR) |
| Authorized Official Telephone | 2072873746 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251K00000X | Public Health or Welfare | ME | Agencies | |
| Y | 251K00000X | Public Health or Welfare | Agencies |
| Other Name | Type Code |
|---|---|
| Maine Center for Disease Control/Division of Infectious Desease/Maine | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649413360 | State of Maine | Case Management | 32 Blossom Ln, Augusta, ME 04333-0001 | 2009-04-10 |
| 1871708230 | State of Maine | Local Education Agency (LEA) | 23 State House Sta, Augusta, ME 04333-0023 | 2007-05-11 |
| 1699776146 | State of Maine | Psychiatric Hospital | 656 State St, Bangor, ME 04401-5609 | 2005-08-09 |
| 1053319566 | State of Maine | Psychiatric Hospital | 250 Arsenal St, Augusta, ME 04333-0011 | 2005-07-08 |
| 1184020091 | State of Maine | Community/Behavioral Health | 656 State St, Bangor, ME 04401-5609 | 2014-11-05 |
| 1225374549 | State of Maine | Clinic/Center | 32 Blossom Ln, Augusta, ME 04333-0011 | 2012-12-13 |
| 1063741213 | State of Maine | Case Management | 32 Blossom Ln, Augusta, ME 04333-0011 | 2009-12-17 |
| 1386887008 | State of Maine | Community/Behavioral Health | 5 Caldwell Rd, Augusta, ME 04330-0011 | 2009-04-10 |
| 1376781153 | State of Maine | Point of Service | 91 Camden St, Suite 103, Rockland, ME 04841-2455 | 2009-02-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | STATE OF MAINE ENTERPRISE LLC | 2515 Coral Ct., N. Bellmore, Ny 11710 |
| System for Award Management (SAM) Entities | STATE OF MAINE, CONNECTME AUTHORITY | 211 Sewall St, Augusta, ME 04333-0001 |
| Street Address |
286 WATER STREET 9TH FLOOR |
| City | AUGUSTA |
| State | ME |
| Zip Code | 04333-0011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962757476 | Stacia K St. John | Registered Nurse | 1 Togus Ctr, Augusta, ME 04333-0001 | 2012-07-20 |
| 1649413360 | State of Maine | Case Management | 32 Blossom Ln, Augusta, ME 04333-0001 | 2009-04-10 |
| 1487864930 | Shaun Quimby | Social Worker | 1 Weston Ct Fl 3, Augusta, ME 04333-0001 | 2007-05-23 |
| 1689793077 | Elsie J Freeman | Psychiatry & Neurology | Main Dhhs, 11 State House Station, Augusta, ME 04333-0001 | 2007-03-28 |
| 1407985302 | State of Maine Health and Environmental Tessting Laboratory | Clinical Medical Laboratory | Station 12, 221 State Street, Augusta, ME 04333-0001 | 2007-03-05 |
| 1053317164 | Peter J Mascetta | Radiology | 6 East Chestnut Street, Augusta, ME 04333-0001 | 2005-06-23 |
| 1326081076 | Grace Odimayo | Dentist | 250 Arsenal Street, 11 Shs, Augusta, ME 04333-0001 | 2006-06-13 |
| 1013987403 | Teresa M Mayo | Psychologist | 250 Arsenal St, 11 Shs, Augusta, ME 04333-0001 | 2006-01-26 |
| 1295705671 | Tatiana W Gregor | Psychologist | 250 Arsenal St, 11 Shs, Augusta, ME 04333-0001 | 2006-01-26 |
| 1538144860 | George Edward Davis | Internal Medicine | 250 Arsenal Street, 11 Shs, Augusta, ME 04333-0001 | 2005-12-09 |
| Find all providers in zip 04333 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659505451 | Maine Cdc Public Health Nursing | Public Health or Welfare | 286 Water St Key Plz Fl 7, State House Station # 11, Augusta, ME 04333-0011 | 2009-05-07 |
| 1205988631 | East Central Health District | Public Health or Welfare | 2401 Crystal Ct, Augusta, GA 30906 | 2007-01-17 |
| 1437259785 | Miracle Making Ministries, Inc. | Public Health or Welfare | 1127 Druid Park Ave, Augusta, GA 30904-5849 | 2006-09-25 |
| 1750489415 | Hampshire County Board of Health | Public Health or Welfare | Hc 71 Box 9, Augusta, WV 26704-9502 | 2006-09-20 |
| 1225089824 | Richmond County Board of Health | Public Health or Welfare | 950 Laney Walker Blvd, Augusta, GA 30901-2960 | 2006-05-16 |
| 1366492035 | East Central Health District | Public Health or Welfare | 1916 N Leg Rd, Augusta, GA 30909-4402 | 2006-05-11 |
| 1598911851 | East Central Health District | Public Health or Welfare | 950 Laney Walker Blvd, Augusta, GA 30901-2960 | 2008-08-18 |
| 1992991160 | Richmond County Board of Health | Public Health or Welfare | 2420 Windsor Spring Rd, Augusta, GA 30906-4668 | 2007-09-20 |
| 1508928771 | Richmond County Health Dept. | Public Health or Welfare | 950 Laney Walker Blvd, Augusta, GA 30901-2960 | 2006-12-14 |
| 1639230725 | East Central Public Health District | Public Health or Welfare | 950 Laney Walker Blvd, Augusta, GA 30901-2960 | 2006-12-12 |
| Find all providers in AUGUSTA | ||||
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| 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.