STATE OF MAINE (NPI# 1649413360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649413360 |
| Entity Type | Organization |
| Organization Name | STATE OF MAINE |
| Other Organization Name | OACPDS |
| Practice Address |
32 Blossom Ln Augusta ME 04333-0001 |
| Mailing Address |
109 Capitol Street Shs#11 Reimbursement Unit Augusta ME 04333-0011 |
| Practice Telephone | 2072874242 |
| Practice Fax Number | 2072879915 |
| Mailing Telephone | 2072877418 |
| Mailing Fax Number | 2072871862 |
| Enumeration Date | 2009-04-10 |
| Last Update Date | 2019-06-14 |
| Authorized Official Name | JENNIFER GAGNON (FINANCIAL MANAGER) |
| Authorized Official Telephone | 2076244675 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | NONE | ME | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 135910313 | 05 | |
| ME | 135910311 | 05 | |
| ME | 135910314 | 05 | |
| ME | 135910315 | 05 | |
| ME | 135910304 | 05 | |
| ME | 135910312 | 05 |
| Other Name | Type Code |
|---|---|
| OACPDS | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356678387 | State of Maine | Public Health or Welfare | 286 Water Street, 9th Floor, Augusta, ME 04333-0011 | 2009-11-12 |
| 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 |
32 BLOSSOM LN |
| City | AUGUSTA |
| State | ME |
| Zip Code | 04333-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962757476 | Stacia K St. John | Registered Nurse | 1 Togus Ctr, Augusta, ME 04333-0001 | 2012-07-20 |
| 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 |
| 1427370014 | Susan Waldron Newkirk-sanborn | Psychologist | 250 Arsenal St., 11 State House Station, Augusta, ME 04333-0011 | 2010-02-23 |
| Find all providers in zip 04333 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992248389 | Central Savannah River Area Regional Development Center | Case Management | 3626 Walton Way Ext Ste 300, Augusta, GA 30909-6421 | 2016-12-02 |
| 1952793655 | Saved Community Services of Georgia Inc | Case Management | 3408 Chadbourne St, Augusta, GA 30906-4219 | 2015-03-04 |
| 1932539814 | Full Service Management | Case Management | 2919 Whippoorwill Ct, Augusta, GA 30906-4431 | 2013-11-14 |
| 1831431378 | Lifeskills for Women | Case Management | 1816 Walker St, Augusta, GA 30904-3659 | 2013-03-22 |
| 1750514808 | Maine Office of Child and Family Services | Case Management | 2 Anthony Ave, State House Station #11, Augusta, ME 04330-9426 | 2009-08-24 |
| 1215171848 | Maine Parent Federation, Inc. | Case Management | 12 Shuman Ave., Augusta, ME 04330 | 2009-04-27 |
| 1013151190 | Family Violence Project - T House | Case Management | 35 Jefferson St, Augusta, ME 04330-4008 | 2009-04-21 |
| 1477798601 | Columbus Medical Services, LLC | Case Management | 1453 Greene St Ste B, Augusta, GA 30901-1000 | 2008-12-02 |
| 1992950455 | Columbus Medical Services | Case Management | 1058 Claussen Rd, Suite 108, Augusta, GA 30907-0300 | 2008-11-25 |
| 1447409883 | Bread of Life Ministries | Case Management | 155 Hospital Street, Augusta, ME 04330 | 2008-09-10 |
| 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.