Providence Service Corporation

LBN: Providence Service Corporation
Providence Service Corporation is an health care organization with primary practice located at 2 Davenport Cir Suite 4; Achieve Program, Bath ME 04530-2880. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Providence Service Corporation can be contacted via phone (207) 443-6200, or through Zenga, Nicole via phone (207) 373-0620.

Contact Information

Primary practice address
2 Davenport Cir Suite 4; Achieve Program Bath ME 04530-2880
Phone: (207) 443-6200
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Zenga, Nicole
Phone: (207) 373-0620

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 392123 Maine

Profile Details

NPI number 1710222534
LBN Legal business name Providence Service Corporation
DBA Doing business as
Authorized official Zenga, Nicole
Entity Organization
Organization subpart 1 No
Enumeration date Dec 5th, 2012
Last updated Dec 5th, 2012 - about 13 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 1710222534 NPPES
Maine MEDICAID 191700000

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