Organization Active NPI

Midcoast Youth Center & Skatepark

  • Case Management Agency
  • Bath, ME
National Provider Identifier
1487504643
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
MIDCOAST YOUTH CENTER & SKATEPARK
Practice address
4 Old Brunswick Rd
Bath, ME 04530-4238
Phone
(207) 443-8750
NPI assigned
Jan 29, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Authorized official

Name
Jamie Dorr
Title
Executive Director
Phone
(207) 443-8750

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

4 Old Brunswick Rd
Bath, ME 04530-4238

Mailing address

4 Old Brunswick Rd
Bath, ME 04530-4238
Phone (207) 443-8750

Other names 1

  • Midcoast Community Alliance Former legal business name

National Provider Directory

National Provider Directory

Locations

4 Old Brunswick Rd
Bath, ME 04530
Phone (207) 443-8750

NPI Registry JSON

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

{
    "created_epoch": "1769644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769644800000",
    "number": "1487504643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 OLD BRUNSWICK RD",
            "city": "BATH",
            "state": "ME",
            "postal_code": "045304238",
            "telephone_number": "207-443-8750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 OLD BRUNSWICK RD",
            "city": "BATH",
            "state": "ME",
            "postal_code": "045304238",
            "telephone_number": "207-443-8750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDCOAST YOUTH CENTER & SKATEPARK",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-29",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A",
        "authorized_official_last_name": "DORR",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "207-443-8750"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midcoast Community Alliance",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Bath, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2026; 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.