George Stevens Academy SBWC
Organization Active NPI Student Health Clinic/Center · Blue Hill, ME
NPI 1124834973 · NPPES record last updated Dec 6, 2024
Key facts
- NPI
- 1124834973
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Student Health Clinic/Center 261QS1000X
- Legal business name
- GEORGE STEVENS ACADEMY SBWC
- Practice address
- 23 Union St
Blue Hill, ME 04614-5908 - Phone
- (207) 374-2808
- NPI assigned
- Dec 6, 2024
- Organization subpart
- Yes
- Parent organization (as reported)
- GEORGE STEVENS ACADEMY
Authorized official
- Name
- Andrea M Lopez, RN, CRNP
- Title
- Volunteer-Student Health Services
- Phone
- (207) 610-0127
Practitioners 1
-
Andrea Michaelena Lopez, RN, CRNP
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 20D2240349 | George Stevens Academy | Certificate of waiver | Oct 18, 2027 |
National Provider Directory
- Part of
- George Stevens Academy SBWC
Locations
23 Union St
Blue Hill, ME 04614
Phone (207) 374-2808
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student Health Clinic/Center | 261QS1000X | Yes |
Addresses
Primary practice location
23 Union St
Blue Hill, ME 04614-5908
Mailing address
23 Union St
Blue Hill, ME 04614-5908
Phone (207) 374-2808
Other names
- George Stevens Academy SBWC
Other providers in Blue Hill, ME
- Cynthia R Dublin-Morin
- Philip Elkin
- Howard Morgan Evans
- Laurie Farley
- Amelia Forman-Stiles
- Carl A. Germann
- Fawn Gillins
- Michael David Gillins
- Megan Rebecca Granger
- Walter Ross Greenlaw Jr.
All providers in Blue Hill, ME · Student Health Clinic/Center in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 6, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.