NPIMap

Organization Active NPI

Mainegeneral Health

  • Substance Abuse Rehabilitation Facility
  • Waterville, ME
National Provider Identifier
1164583100
Registry record updated Aug 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
230503 Issued in ME
Legal business name
MAINEGENERAL HEALTH
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 Aug 23, 2019

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

Authorized official

Name
Gregory Pizzo
Title
Director of Finance
Phone
(207) 861-3451

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 230503 ME Primary

Addresses

Primary practice location

10 Water St
Suite 306
Waterville, ME 04901-6559

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
132510100MedicaidME

Other names 3

  • HealthReach Network Doing business as
  • MaineGeneral Community Care Residential Services Doing business as
  • MGMC Residential Services 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": "1566518400000",
    "number": "1164583100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": "MAINEGENERAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2019-08-23",
        "status": "A",
        "authorized_official_last_name": "PIZZO",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "207-861-3451"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "ME",
            "license": "230503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132510100",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthReach Network",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MaineGeneral Community Care Residential Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MGMC Residential Services",
            "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 Aug 23, 2019; 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.