NPIMap

Organization Active NPI

Maine General Community Care

  • Case Management Agency
  • Waterville, ME
National Provider Identifier
1073674016
Registry record updated Sep 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
221903 Issued in ME
Legal business name
MAINE GENERAL COMMUNITY CARE
Practice address
10 Water St
Suite 306
Waterville, ME 04901-6559
Phone
(207) 861-3488
Fax
(207) 861-3470
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2017

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

Authorized official

Name
Angela W Victory
Title
Director of Revenue Cycle
Phone
(207) 861-3488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 221903 ME Primary

Addresses

Primary practice location

10 Water St
Suite 306
Waterville, ME 04901-6559

Mailing address

10 Water St
Ste 306
Waterville, ME 04901-6559
Phone (207) 861-3488

Other identifiers 1

IdentifierTypeStateIssuer
132510202MedicaidME

Other names 2

  • HealthReach Network Doing business as
  • CaseManagement Act Other name

National Provider Directory

National Provider Directory
Tax ID family
Health Reach Network10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506470400000",
    "number": "1073674016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 WATER ST",
            "address_2": "STE 306",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049016559",
            "telephone_number": "207-861-3488",
            "fax_number": "207-861-3470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 WATER ST",
            "address_2": "SUITE 306",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049016559",
            "telephone_number": "207-861-3488",
            "fax_number": "207-861-3470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINE GENERAL COMMUNITY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2017-09-27",
        "status": "A",
        "authorized_official_last_name": "VICTORY",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE CYCLE",
        "authorized_official_telephone_number": "207-861-3488"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "ME",
            "license": "221903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132510202",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthReach Network",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CaseManagement Act",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Waterville, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2017; 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.