City of Bangor

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

License

25100000X Issued in ME

Legal business name

CITY OF BANGOR

Doing business as

Bangor Health & Community Services

Practice address

103 Texas Ave
Bangor, ME 04401-4324

Phone

(207) 992-4531

Fax

(207) 945-3348

NPI assigned

Oct 3, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Patricia Hamilton, FNP

Title

Director Public Health Nursing

Phone

(207) 992-4550

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Bangor Health & Community Services Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Bangor Fire Dept3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• City of Bangor

  • Land Ambulance
  • Bangor, ME
  • NPI 1346389087
  NPD tax ID
• City of Bangor

  • Local Education Agency (LEA)
  • Bangor, ME
  • NPI 1366654592
  NPD tax ID

Locations

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332892800000",
    "number": "1326132218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 TEXAS AVENUE",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "04401",
            "telephone_number": "207-992-4547",
            "fax_number": "207-992-9161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 TEXAS AVE",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044014324",
            "telephone_number": "207-992-4531",
            "fax_number": "207-945-3348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF BANGOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2012-03-28",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "DIRECTOR PUBLIC HEALTH NURSING",
        "authorized_official_telephone_number": "207-992-4550",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "ME",
            "license": "25100000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135940700",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135410400",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bangor Health & Community Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chia Chen Chuang, DO
• Jennifer Chung, LCPC-C
• Rebecca Elaine Churchill, CADC
• James Richard Cianciolo, NP
• Mark Anthony Cirrinone, LCSW
• City of Bangor
• City of Bangor
• Charles A Civiello Jr., O.D.
• Georgia Clark-Albert, MS RD LD CDE
• Kateryna Vadimovna Clark, M.S., R.D

• Public Health or Welfare Agency in Bangor, ME
• Providers in Bangor, ME by specialty
• Public Health or Welfare Agency in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.