The Shooting Stars Program

LBN: The Shooting Stars Program
The Shooting Stars Program is an health care organization with primary practice located at 152 Us Route 1 4, Scarborough ME 04074-8365. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. The Shooting Stars Program can be contacted via phone (207) 883-5882, or through Hughes, Ruth via phone (207) 883-5882.

Contact Information

Primary practice address
152 Us Route 1 4 Scarborough ME 04074-8365
Phone: (207) 883-5882
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hughes, Ruth Master of Education (MED)
Phone: (207) 883-5882

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1740415488
LBN Legal business name The Shooting Stars Program
DBA Doing business as
Authorized official Hughes, Ruth Master of Education (MED)
Entity Organization
Organization subpart 1 No
Enumeration date May 26th, 2009
Last updated May 26th, 2009 - about 16 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 1740415488 NPPES
Maine Other 217310000 MAINECARE IDENTIFICATION NUMBER

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