Kennebec Valley Community Action Program

LBN: Kennebec Valley Community Action Program
Kennebec Valley Community Action Program is an health care organization with primary practice located at 97 Water St Waterville, Waterville ME 04901-6339. The organization recently has only one registered license in Agencies / Early Intervention Provider Agency, which is considered as the primary health care specialty. Kennebec Valley Community Action Program can be contacted via phone (207) 859-1565, or through Kosmas, Pat via phone (207) 859-1565.

Contact Information

Primary practice address
97 Water St Waterville Waterville ME 04901-6339
Phone: (207) 859-1565
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kosmas, Pat
Phone: (207) 859-1565

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X Maine

Profile Details

NPI number 1164666996
LBN Legal business name Kennebec Valley Community Action Program
DBA Doing business as
Authorized official Kosmas, Pat
Entity Organization
Organization subpart 1 No
Enumeration date Apr 23rd, 2009
Last updated Apr 23rd, 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 1164666996 NPPES
Maine MEDICAID 103990202

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