Organization Active NPI

My Friend'S Place - First United Methodist Church

  • Respite Care
  • Bangor, ME
National Provider Identifier
1043446289
Registry record updated Jun 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
License
ALLS2880 Issued in ME
Legal business name
MY FRIEND'S PLACE - FIRST UNITED METHODIST CHURCH
Practice address
703 Essex St
Bangor, ME 04401-3509
Phone
(207) 945-0122
NPI assigned
Jun 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Barbara I Fister
Title
Director
Phone
(207) 945-0122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X ALLS2880 ME Primary

Addresses

Primary practice location

703 Essex St
Bangor, ME 04401-3509

Mailing address

703 Essex St
Bangor, ME 04401-3509
Phone (207) 945-0122

National Provider Directory

National Provider Directory

Locations

703 Essex St
Bangor, ME 04401
Phone (207) 945-0122

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1243900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243900800000",
    "number": "1043446289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 ESSEX ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013509",
            "telephone_number": "207-945-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 ESSEX ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013509",
            "telephone_number": "207-945-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY FRIEND'S PLACE - FIRST UNITED METHODIST CHURCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-02",
        "last_updated": "2009-06-02",
        "status": "A",
        "authorized_official_last_name": "FISTER",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "207-945-0122",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "ME",
            "license": "ALLS2880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.