Msad 40

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

R036504 Issued in 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

Last updated

Nov 9, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Shelby Cochran Gammon, RN

Title

District Nurse

Phone

(207) 832-5566

Specialties & licenses 1

Addresses

Tax ID family

Msad 404 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Msad 40

  • Developmentally Disabled Services Day Training Agency
  • Warren, ME
  • NPI 1235347998
  NPD tax ID
• Msad 40

  • Local Education Agency (LEA)
  • Warren, ME
  • NPI 1487868808
  NPD tax ID
• Rsu 40

  • Case Management Agency
  • Warren, ME
  • NPI 1679781330
  NPD tax ID

Locations

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

{
    "created_epoch": "1289260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289260800000",
    "number": "1366743262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 MANKTOWN RD",
            "city": "WALDOBORO",
            "state": "ME",
            "postal_code": "045725816",
            "telephone_number": "207-832-5566",
            "fax_number": "207-832-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 MANKTOWN RD",
            "city": "WALDOBORO",
            "state": "ME",
            "postal_code": "045725816",
            "telephone_number": "207-832-5566",
            "fax_number": "207-832-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MSAD 40",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-09",
        "last_updated": "2010-11-09",
        "status": "A",
        "authorized_official_last_name": "GAMMON",
        "authorized_official_first_name": "SHELBY",
        "authorized_official_middle_name": "COCHRAN",
        "authorized_official_title_or_position": "DISTRICT NURSE",
        "authorized_official_telephone_number": "207-832-5566",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "ME",
            "license": "R036504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juanita McLean
• Jennie K McNeil, FNP-BC, PMHNP-BC
• Medomak Family Medicine LLC
• Medomak Veterinary Services
• Ted R Mohlie, M.D.
• Stacy Lee Nash, LMT
• Chuong Nguyen
• Kathleen M Ocean, LMT
• Jennifer Oddleifson, PA-C
• Francine Vongphet Olney, FNP

• Nursing Care Agency in Waldoboro, ME
• Providers in Waldoboro, ME by specialty
• Nursing Care Agency in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2010; 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.