Organization Active NPI

Left Bank Recovery Services

  • Recovery Care Clinic/Center
  • Lewiston, ME
National Provider Identifier
1285231753
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Recovery Care Clinic/CenterTaxonomy code 261QR0800X
Legal business name
LEFT BANK RECOVERY SERVICES
Practice address
37 Park St Ste 303
Lewiston, ME 04240-7195
Phone
(207) 777-1046
Fax
(207) 514-8016
NPI assigned
Oct 7, 2020
Last updated
Oct 7, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

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

Authorized official

Name
Courtney A Meehan
Title
Chief Administrative Officer
Phone
(207) 777-1046

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Recovery Care Clinic/Center 261QR0800X NU Primary

Addresses

Primary practice location

37 Park St Ste 303
Lewiston, ME 04240-7195

Mailing address

37 Park St # 440
Lewiston, ME 04240-7195
Phone (207) 777-1046

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230711001134 ME Part B Supplier - Clinic/Group Practice 6901265800 Receives reassigned benefits from 3 practitioners
Practice locations: Lewiston, ME

National Provider Directory

National Provider Directory

Locations

37 Park St
#440
Lewiston, ME 04240

37 Park St
Ste 303
Lewiston, ME 04240
Phone (207) 777-1046

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": "1602028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602028800000",
    "number": "1285231753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 PARK ST # 440",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407195",
            "telephone_number": "207-777-1046",
            "fax_number": "207-514-8016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 PARK ST STE 303",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407195",
            "telephone_number": "207-777-1046",
            "fax_number": "207-514-8016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEFT BANK RECOVERY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-07",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A",
        "authorized_official_last_name": "MEEHAN",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "207-777-1046"
    },
    "taxonomies": [
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.

Verify at the official NPI Registry.