W114 Kimgsbury Rd

LBN: Penquis C.A.P., Inc.
W114 Kimgsbury Rd is an health care organization with primary practice located at 262 Harlow St , Bangor ME 04401-4952. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Penquis C.A.P., Inc. can be contacted via phone (207) 973-3500, or through Hay, Kara via phone (207) 973-3500.

Contact Information

Primary practice address
262 Harlow St Bangor ME 04401-4952
Phone: (207) 973-3500
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hay, Kara
Phone: (207) 973-3500

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X

Profile Details

NPI number 1508932898
LBN Legal business name Penquis C.A.P., Inc.
DBA Doing business as W114 Kimgsbury Rd
Authorized official Hay, Kara
Entity Organization
Organization subpart 1 No
Enumeration date Nov 28th, 2006
Last updated Dec 10th, 2018 - about 6 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 1508932898 NPPES
Maine MEDICAID 164840603

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