NPIMap

Organization Active NPI

Penquis C.a.P., Inc.

  • Case Management Agency
  • Bangor, ME
National Provider Identifier
1427282649
Registry record updated May 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
PENQUIS C.A.P., INC.
Practice address
262 Harlow St
Bangor, ME 04401-4952
Phone
(207) 973-3500
Fax
(207) 973-3699
NPI assigned
May 4, 2009
Last updated
May 4, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2009

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

Authorized official

Name
Mr. Charles R Newton
Title
Executive Director
Phone
(207) 973-3500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

262 Harlow St
Bangor, ME 04401-4952

Mailing address

262 Harlow St
Bangor, ME 04401-4952
Phone (207) 973-3500

Other identifiers 1

IdentifierTypeStateIssuer
137980202OtherMEMAINECARE

National Provider Directory

National Provider Directory
Tax ID family
Penquis Cap Inc13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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": "1241395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241395200000",
    "number": "1427282649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 HARLOW ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044014952",
            "telephone_number": "207-973-3500",
            "fax_number": "207-973-3699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 HARLOW ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044014952",
            "telephone_number": "207-973-3500",
            "fax_number": "207-973-3699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENQUIS C.A.P., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-04",
        "last_updated": "2009-05-04",
        "status": "A",
        "authorized_official_last_name": "NEWTON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "207-973-3500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAINECARE",
            "identifier": "137980202",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.