Msad 40
Organization Active NPI Nursing Care Agency · Waldoboro, ME
NPI 1366743262 · NPPES record last updated Nov 9, 2010
Key facts
- NPI
- 1366743262
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nursing Care Agency 251J00000X
- License
- R036504 (ME)
- Legal business name
- MSAD 40
- Practice address
- 320 Manktown Rd
Waldoboro, ME 04572-5816 - Phone
- (207) 832-5566
- Fax
- (207) 832-5566
- NPI assigned
- Nov 9, 2010
- Organization subpart
- No
Authorized official
- Name
- Mrs. Shelby Cochran Gammon, RN
- Title
- District Nurse
- Phone
- (207) 832-5566
Corporate family (same tax ID) 3
National Provider Directory
- Tax ID family
- Msad 40
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | R036504 | ME | Yes |
Addresses
Primary practice location
320 Manktown Rd
Waldoboro, ME 04572-5816
Mailing address
320 Manktown Rd
Waldoboro, ME 04572-5816
Phone (207) 832-5566
Other providers in Waldoboro, ME
- Juanita McLean
- Jennie K McNeil
- Medomak Family Medicine LLC
- Medomak Veterinary Services
- Ted R Mohlie
- Stacy Lee Nash
- Chuong Nguyen
- Kathleen M Ocean
- Jennifer Oddleifson
- Francine Vongphet Olney
All providers in Waldoboro, ME · Nursing Care Agency in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 9, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.