NPIMap

Organization Active NPI

Downeast Health Services

  • Case Management Agency
  • Ellsworth, ME
National Provider Identifier
1386875474
Registry record updated Aug 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
C02415 Issued in ME
Legal business name
DOWNEAST HEALTH SERVICES
Doing business as
Maternal Child Health Program
Practice address
52 Christian Ridge Rd
Ellsworth, ME 04605-3210
Phone
(207) 667-5304
Fax
(207) 667-6117
NPI assigned
Aug 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2009

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

Authorized official

Name
Mrs. Stacy M Brown
Title
Finance Director
Phone
(207) 667-5304

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X C02415 ME Primary

Addresses

Primary practice location

52 Christian Ridge Rd
Ellsworth, ME 04605-3210

Mailing address

52 Christian Ridge Rd
Ellsworth, ME 04605-3210
Phone (207) 667-5304

Other identifiers 3

IdentifierTypeStateIssuer
105610100MedicaidME
105610101MedicaidME
105610200MedicaidME

Other names 1

  • Maternal Child Health Program Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Downeast Health Services5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1249516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249516800000",
    "number": "1386875474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 CHRISTIAN RIDGE RD",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046053210",
            "telephone_number": "207-667-5304",
            "fax_number": "207-667-6117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 CHRISTIAN RIDGE RD",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046053210",
            "telephone_number": "207-667-5304",
            "fax_number": "207-667-6117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWNEAST HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-06",
        "last_updated": "2009-08-06",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "207-667-5304",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "ME",
            "license": "C02415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105610100",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105610101",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105610200",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maternal Child Health Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ellsworth, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.