| Community Care | |
|
40 Summer St Bangor ME 04401-6446 | |
| (207) 945-4240 | |
| (207) 990-3660 |
| Full Name | Community Care |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 40 Summer St, Bangor, Maine |
| Authorized Official Name and Position | Nellie A Kennedy (FINANCE DIRECTOR) |
| Authorized Official Contact | 2079454240 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Care Po Box 936 Bangor ME 04402-0936 Ph: (207) 945-4240 | Community Care 40 Summer St Bangor ME 04401-6446 Ph: (207) 945-4240 |
| NPI Number | 1114070661 |
|---|---|
| Provider Enumeration Date | 01/19/2007 |
| Last Update Date | 12/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114070661 | NPI | - | NPPES |
| 133900100 | Medicaid | ME | |
| 133900200 | Medicaid | ME | |
| 133900000 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 220602 (Maine) | Primary |
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