Active NPI
Pine Tree Society Inc
- Voluntary or Charitable Agency
- Bath, ME
National Provider Identifier
1124032347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Voluntary or Charitable Agency
- Legal business name
- PINE TREE SOCIETY INC
- Practice address
- 149 Front St
Bath, ME 04530-2610 - Phone
- (207) 443-3341
- Fax
- (207) 443-1070
- NPI assigned
- Jul 27, 2006
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Noel Sullivan
- Title
- President and Ceo
- Phone
- (207) 386-5901
Practitioners 19
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Audiologist
- Lewiston, ME
- NPI 1831082668
-
- Student in an Organized Health Care Education/Training Program
- Bath, ME
- NPI 1821769076
ME
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050506000227 | ME | Part B Supplier - Clinic/Group Practice | 8729028998 |
Receives reassigned benefits from 13 practitioners Practice locations: Bath, ME |
National Provider Directory
National Provider DirectoryLocations
149 Front St
Bath, ME 04530
Phone (207) 443-3341
149 Front St
Ste 3
Bath, ME 04530
71 US Route 1
Ste B
Scarborough, ME 04074
Phone (207) 443-3341
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Voluntary or Charitable Agency | 251V00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
149 Front St
Bath, ME 04530-2610
Mailing address
149 Front St.
Bath, ME 04530
Phone (207) 443-3341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 13, 2020.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1589328000000",
"number": "1124032347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "149 FRONT ST.",
"city": "BATH",
"state": "ME",
"postal_code": "04530",
"telephone_number": "207-443-3341",
"fax_number": "207-443-1070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "149 FRONT ST",
"city": "BATH",
"state": "ME",
"postal_code": "045302610",
"telephone_number": "207-443-3341",
"fax_number": "207-443-1070"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PINE TREE SOCIETY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-27",
"last_updated": "2020-05-13",
"certification_date": "2020-05-13",
"status": "A",
"authorized_official_last_name": "SULLIVAN",
"authorized_official_first_name": "NOEL",
"authorized_official_title_or_position": "PRESIDENT AND CEO",
"authorized_official_telephone_number": "207-386-5901"
},
"taxonomies": [
{
"code": "251V00000X",
"taxonomy_group": "",
"desc": "Voluntary or Charitable",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bath, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.