Act Team

LBN: State Of Maine
Act Team is an health care organization with primary practice located at 5 Caldwell Rd , Augusta ME 04330-0011. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. State Of Maine can be contacted via phone (207) 287-5747, or through Gagnon, Jennifer via phone (207) 624-4675.

Contact Information

Primary practice address
5 Caldwell Rd Augusta ME 04330-0011
Phone: (207) 287-5747
Fax: (207) 287-5755
Website:
Map and Directions
Authorized official contact:
Name: Gagnon, Jennifer
Phone: (207) 624-4675

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 526359 Maine

Profile Details

NPI number 1386887008
LBN Legal business name State Of Maine
DBA Doing business as Act Team
Authorized official Gagnon, Jennifer
Entity Organization
Organization subpart 1 No
Enumeration date Apr 10th, 2009
Last updated Jun 14th, 2019 - 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 1386887008 NPPES
Maine MEDICAID 135911607

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