Organization Active NPI

Child Health Center-Speech Therapy

  • Developmental Disabilities Clinic/Center
  • Oxford, ME
National Provider Identifier
1295962694
Registry record updated Jun 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
License
210451 Issued in ME
Legal business name
CHILD HEALTH CENTER-SPEECH THERAPY
Practice address
16 Madison Ave
Oxford, ME 04270-3579
Phone
(207) 743-7035
Fax
(207) 743-2970
NPI assigned
Jun 12, 2009
Last updated
Jun 12, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2009

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

Authorized official

Name
Mr. Raymond Hatch
Title
Executive Director
Phone
(207) 743-7035

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X 210451 ME Primary
Early Intervention Provider Agency 252Y00000X 210451 ME

Addresses

Primary practice location

16 Madison Ave
Oxford, ME 04270-3579

Mailing address

16 Madison Ave
Oxford, ME 04270-3579
Phone (207) 743-7035

National Provider Directory

National Provider Directory
Tax ID family
Child Health Center-Occupational Therapy11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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": "1244764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244764800000",
    "number": "1295962694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 MADISON AVE",
            "city": "OXFORD",
            "state": "ME",
            "postal_code": "042703579",
            "telephone_number": "207-743-7035",
            "fax_number": "207-743-2970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 MADISON AVE",
            "city": "OXFORD",
            "state": "ME",
            "postal_code": "042703579",
            "telephone_number": "207-743-7035",
            "fax_number": "207-743-2970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD HEALTH CENTER-SPEECH THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-12",
        "last_updated": "2009-06-12",
        "status": "A",
        "authorized_official_last_name": "HATCH",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "207-743-7035",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "ME",
            "license": "210451",
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "ME",
            "license": "210451",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2009; 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.