Curtis Lake Christian Church

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

License

644244 Issued in ME

Legal business name

CURTIS LAKE CHRISTIAN CHURCH

Practice address

38 Westview Dr
Sanford, ME 04073-4215

Phone

(207) 324-0652

NPI assigned

Feb 2, 2017

Last updated

Feb 2, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert Riley

Title

Executive Pastor

Phone

(207) 324-0652

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1485993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485993600000",
    "number": "1245778943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 WESTVIEW DR",
            "city": "SANFORD",
            "state": "ME",
            "postal_code": "040734215",
            "telephone_number": "207-324-0652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 WESTVIEW DR",
            "city": "SANFORD",
            "state": "ME",
            "postal_code": "040734215",
            "telephone_number": "207-324-0652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CURTIS LAKE CHRISTIAN CHURCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-02",
        "last_updated": "2017-02-02",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "EXECUTIVE PASTOR",
        "authorized_official_telephone_number": "207-324-0652"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "ME",
            "license": "644244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marco Cornelio, M.D.
• Kathleen Ann Coward, LD
• Cameron Robert Allan Crocker, DPT
• Alyssa Rose Currier, M.A.
• Brittanie Anne Curry, LMT
• CVS State Capital LLC (CVS Pharmacy 00523)
• Elizabeth C Cyr, LMSW-CC
• Amanda Dahlgren, FNP-C
• Chelsea Lynn Daigle, OTR/L
• Jeff W Daigle, D.D.S.

• Local Education Agency (LEA) in Sanford, ME
• Providers in Sanford, ME by specialty
• Local Education Agency (LEA) in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.