Protea Behavioral Health Services

LBN: Protea Behavioral Health Services
Protea Behavioral Health Services is an health care organization with primary practice located at 33 State St , Bangor ME 04401-5038. The organization recently has only one registered license in Agencies / Public Health or Welfare, which is considered as the primary health care specialty. Protea Behavioral Health Services can be contacted via phone (207) 992-7010, or through Tessmann, Rowena via phone (207) 992-7010.

Contact Information

Primary practice address
33 State St Bangor ME 04401-5038
Phone: (207) 992-7010
Fax: (207) 992-7011
Website:
Map and Directions
Authorized official contact:
Name: Tessmann, Rowena PHD
Phone: (207) 992-7010

Health care specialties

SpecialtyCodeLicense #State
Agencies / Public Health or Welfare 251K00000X Maine

Profile Details

NPI number 1700814712
LBN Legal business name Protea Behavioral Health Services
DBA Doing business as
Authorized official Tessmann, Rowena PHD
Entity Organization
Organization subpart 1 No
Enumeration date Jun 29th, 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 1700814712 NPPES
Maine Other 031509 ANTHEM FACILITY ID#
Maine MEDICAID 1003100101 ANTHEM FACILITY ID#

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