Gerald M Gerrish DC PA
Organization Active NPI Clinic/Center · Bar Harbor, ME
NPI 1003083346 · NPPES record last updated Sep 5, 2008
Key facts
- NPI
- 1003083346
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- License
- CR1100 (ME)
- Legal business name
- GERALD M GERRISH DC PA
- Practice address
- 276 State Highway 3
Bar Harbor, ME 04609-7539 - Phone
- (207) 288-3980
- Fax
- (207) 288-8030
- NPI assigned
- May 15, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Gerald Matthew Gerrish, D.C.
- Title
- President
- Phone
- (207) 288-3980
Practitioners 1
-
Gerald Gerrish, DC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080731000336 | ME | Part B Supplier - Clinic/Group Practice | 4183798747 |
Receives reassigned benefits from 1 practitioner Practice locations: Bar Harbor, ME |
National Provider Directory
Locations
276 State Highway 3
Bar Harbor, ME 04609
Phone (207) 288-3980
273 State Highway 3
Bar Harbor, ME 04609
Phone (207) 288-3980
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | CR1100 | ME | Yes |
Addresses
Primary practice location
276 State Highway 3
Bar Harbor, ME 04609-7539
Mailing address
276 State Highway 3
Bar Harbor, ME 04609-7539
Phone (207) 288-3980
Other names
- Gerrish Chiropractic Center
Other providers in Bar Harbor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 5, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.