Russell Park Manor

LBN: Medical Care Management, Inc
Russell Park Manor is an health care organization with primary practice located at 179 Lisbon St 2Nd Floor, Lewiston ME 04240-7248. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Medical Care Management, Inc can be contacted via phone (207) 786-3554, or through Cyr, Glen G via phone (207) 786-3554.

Contact Information

Primary practice address
179 Lisbon St 2Nd Floor Lewiston ME 04240-7248
Phone: (207) 786-3554
Fax: (207) 786-8507
Website:
Map and Directions
Authorized official contact:
Name: Cyr, Glen G
Phone: (207) 786-3554

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 2065 Maine

Profile Details

NPI number 1962562272
LBN Legal business name Medical Care Management, Inc
DBA Doing business as Russell Park Manor
Authorized official Cyr, Glen G
Entity Organization
Organization subpart 1 No
Enumeration date Dec 11th, 2006
Last updated Aug 22nd, 2020 - about 5 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 1962562272 NPPES
Maine Other 024138 BCBS PROVIDER #

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