NPIMap

Organization Active NPI

Mainegeneral Community Care

  • Community/Behavioral Health Agency
  • Waterville, ME
National Provider Identifier
1306907464
Registry record updated Sep 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
230503 Issued in ME
Legal business name
MAINEGENERAL COMMUNITY CARE
Practice address
8 Highwood St
Waterville, ME 04901-5740
Phone
(207) 861-3488
Fax
(207) 861-3470
NPI assigned
Dec 13, 2006
Organization subpart
Yes
Parent organization
MAINEGENERAL HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 18, 2017

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

Authorized official

Name
Angela W Victory
Title
Director of Revenue Cycle
Phone
(207) 861-3488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 230503 ME Primary

Addresses

Primary practice location

8 Highwood St
Waterville, ME 04901-5740

Mailing address

8 Highwood St
Waterville, ME 04901-5740
Phone (207) 861-3488

Other identifiers 1

IdentifierTypeStateIssuer
132510200MedicaidME

Other names 2

  • HealthReach Network Doing business as
  • MGMC OutPatient Counseling Substance Abuse Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Health Reach Network10 organizations share this tax ID, including this one
Part of
Health Reach Network

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": "1505692800000",
    "number": "1306907464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 HIGHWOOD ST",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049015740",
            "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": "8 HIGHWOOD ST",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049015740",
            "telephone_number": "207-861-3488",
            "fax_number": "207-861-3470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINEGENERAL COMMUNITY CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAINEGENERAL HEALTH",
        "enumeration_date": "2006-12-13",
        "last_updated": "2017-09-18",
        "status": "A",
        "authorized_official_last_name": "VICTORY",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE CYCLE",
        "authorized_official_telephone_number": "207-861-3488"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ME",
            "license": "230503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132510200",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthReach Network",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MGMC OutPatient Counseling Substance Abuse",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 18, 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.