Organization Active NPI

North Country Associates, Inc

Doing business as Somerset Living Center

  • Skilled Nursing Facility
  • Bingham, ME
National Provider Identifier
1447310644
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
2033 Issued in ME
Legal business name
NORTH COUNTRY ASSOCIATES, INC
Doing business as
Somerset Living Center
Practice address
43 Owens St
Bingham, ME 04920-4008
Phone
(207) 672-4041
Fax
(207) 672-3293
NPI assigned
Dec 11, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Glen G Cyr
Title
VP of Finance
Phone
(207) 786-3554

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 2033 ME Primary

Addresses

Primary practice location

43 Owens St
Bingham, ME 04920-4008

Mailing address

179 Lisbon St
2ND Floor
Lewiston, ME 04240-7248
Phone (207) 786-3554

Other identifiers 1

IdentifierTypeStateIssuer
038431OtherMEBLUE CROSS PROVIDER #

Other names 1

  • Somerset Living Center Doing business as

National Provider Directory

National Provider Directory

Locations

43 Owens St
Bingham, ME 04920
Phone (207) 672-4041

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447310644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 LISBON ST",
            "address_2": "2ND FLOOR",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407248",
            "telephone_number": "207-786-3554",
            "fax_number": "207-786-8507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 OWENS ST",
            "city": "BINGHAM",
            "state": "ME",
            "postal_code": "049204008",
            "telephone_number": "207-672-4041",
            "fax_number": "207-672-3293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COUNTRY ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CYR",
        "authorized_official_first_name": "GLEN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "207-786-3554",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "ME",
            "license": "2033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER #",
            "identifier": "038431",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Somerset Living Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bingham, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.