| Gateways, Pa | |
|
4 Market Sq Suite 1 Houlton ME 04730-1735 | |
| (207) 532-3222 | |
| (207) 532-3288 |
| Full Name | Gateways, Pa |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 4 Market Sq, Houlton, Maine |
| Authorized Official Name and Position | Linda R Mccord (CEO/OWNER) |
| Authorized Official Contact | 2075323222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gateways, Pa 4 Market Sq Suite 1 Houlton ME 04730-1735 Ph: (207) 532-3222 | Gateways, Pa 4 Market Sq Suite 1 Houlton ME 04730-1735 Ph: (207) 532-3222 |
| NPI Number | 1982842274 |
|---|---|
| Provider Enumeration Date | 01/26/2009 |
| Last Update Date | 08/12/2009 |
| Medicare PECOS PAC ID | 3072670116 |
|---|---|
| Medicare Enrollment ID | O20090317000588 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982842274 | NPI | - | NPPES |
| 424610000 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 582260 (Maine) | Primary |
| Provider Name | Linda R Mccord |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528283124 PECOS PAC ID: 9335233667 Enrollment ID: I20070918000426 |
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