NPIMap

Organization Active NPI

Saco Sport & Fitness

  • Dietary Manager
  • Saco, ME
National Provider Identifier
1104203652
Registry record updated May 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dietary ManagerTaxonomy code 132700000X
Legal business name
SACO SPORT & FITNESS
Practice address
329 North St
Saco, ME 04072-1815
Phone
(207) 284-5953
Fax
(207) 284-6635
NPI assigned
May 5, 2015
Last updated
May 5, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2015

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

Authorized official

Name
Scott Gillespie
Title
President
Phone
(207) 284-5953

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dietary Manager 132700000X NU Primary

Addresses

Primary practice location

329 North St
Saco, ME 04072-1815

Mailing address

329 North St
Saco, ME 04072-1815
Phone (207) 284-5953

National Provider Directory

National Provider Directory
Tax ID family
Saco Sport and Fitness2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1430784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430784000000",
    "number": "1104203652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 NORTH ST",
            "city": "SACO",
            "state": "ME",
            "postal_code": "040721815",
            "telephone_number": "207-284-5953",
            "fax_number": "207-284-6635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 NORTH ST",
            "city": "SACO",
            "state": "ME",
            "postal_code": "040721815",
            "telephone_number": "207-284-5953",
            "fax_number": "207-284-6635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACO SPORT & FITNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-05",
        "last_updated": "2015-05-05",
        "status": "A",
        "authorized_official_last_name": "GILLESPIE",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-284-5953"
    },
    "taxonomies": [
        {
            "code": "132700000X",
            "taxonomy_group": "",
            "desc": "Dietary Manager",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saco, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2015; 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.