Child Health Center-Physical Therapy

LBN: Child Health Center-Physical Therapy
Child Health Center-Physical Therapy is an health care organization with primary practice located at 16 Madison Ave , Oxford ME 04270-3579. The organization recently has 2 registered licenses in different health care specialties including Agencies / Early Intervention Provider Agency, Ambulatory Health Care Facilities / Developmental Disabilities. Ambulatory Health Care Facilities / Developmental Disabilities is the primary health care specialty. Child Health Center-Physical Therapy can be contacted via phone (207) 743-7035, or through Hatch, Raymond R via phone (207) 743-7035.

Contact Information

Primary practice address
16 Madison Ave Oxford ME 04270-3579
Fax: (207) 743-2970
Website:
Authorized official contact:
Name: Hatch, Raymond R

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X 210451 Maine
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X 210451 Maine

Profile Details

NPI number 1336374891
LBN Legal business name Child Health Center-Physical Therapy
DBA Doing business as
Authorized official Hatch, Raymond R
Entity Organization
Organization subpart 1 Yes
Enumeration date May 27th, 2009
Last updated May 27th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336374891 NPPES
Maine MEDICAID 109760400
Maine MEDICAID 109760401

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