Portland West

LBN: Learningworks (Formerly Portland West)
Portland West is an health care organization with primary practice located at 181 Brackett St. , Portland ME 04102. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is the primary health care specialty. Learningworks (Formerly Portland West) can be contacted via phone (207) 775-0105, or through Dodge, Robert E. via phone (207) 775-0105.

Contact Information

Primary practice address
181 Brackett St. Portland ME 04102
Fax: (207) 775-1392
Website:
Authorized official contact:
Name: Dodge, Robert E.

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 566270 Maine
Agencies / Community/Behavioral Health 251S00000X 566270 Maine

Profile Details

NPI number 1154595684
LBN Legal business name Learningworks (Formerly Portland West)
DBA Doing business as Portland West
Authorized official Dodge, Robert E.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 16th, 2008
Last updated Oct 2nd, 2012 - about 12 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 1154595684 NPPES
Maine MEDICAID 135530099
Maine MEDICAID 432302099
Maine MEDICAID 432506499

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