Ccs Behavioral At Ama | |
2 Great Falls Plz Suite 21, Room A Auburn ME 04210-5966 | |
(207) 330-3950 | |
(207) 330-3955 |
Full Name | Ccs Behavioral At Ama |
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Speciality | Clinic/Center |
Location | 2 Great Falls Plz, Auburn, Maine |
Authorized Official Name and Position | Coleen L Elias (CEO/CFO) |
Authorized Official Contact | 2075133897 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ccs Behavioral At Ama Po Box 95000 Lbx 7660 Philadelphia PA 19195-0001 Ph: (207) 777-8208 | Ccs Behavioral At Ama 2 Great Falls Plz Suite 21, Room A Auburn ME 04210-5966 Ph: (207) 330-3950 |
NPI Number | 1821442039 |
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Provider Enumeration Date | 04/14/2016 |
Last Update Date | 10/22/2020 |
Medicare PECOS PAC ID | 0042101099 |
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Medicare Enrollment ID | O20160811000292 |
Identifier | Type | State | Issuer |
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1821442039 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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