Preble Street Resource Center - Adult Site

LBN: Preble Street Resource Center - Adult Site
Preble Street Resource Center - Adult Site is an health care organization with primary practice located at 18 Portland Street , Portland ME 04104. The organization recently has only one registered license in Agencies / Case Management, which is considered as the primary health care specialty. Preble Street Resource Center - Adult Site can be contacted via phone (207) 775-0026, or through Swann, Mark via phone (207) 775-0026.

Contact Information

Primary practice address
18 Portland Street Portland ME 04104
Phone: (207) 775-0026
Fax: (207) 842-3614
Website:
Map and Directions
Authorized official contact:
Name: Swann, Mark
Phone: (207) 775-0026

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X

Profile Details

NPI number 1871744839
LBN Legal business name Preble Street Resource Center - Adult Site
DBA Doing business as
Authorized official Swann, Mark
Entity Organization
Organization subpart 1 No
Enumeration date Oct 8th, 2008
Last updated Oct 8th, 2008 - about 17 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 1871744839 NPPES
Maine MEDICAID 431576200

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