NPIMap

Organization Active NPI

Mas Medical Staffing Corporation

  • Community/Behavioral Health Agency
  • Bangor, ME
National Provider Identifier
1487982450
Registry record updated Feb 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
601444 Issued in ME
Legal business name
MAS MEDICAL STAFFING CORPORATION
Practice address
30 Summer St
Suite 5
Bangor, ME 04401-6467
Phone
(207) 561-9533
Fax
(207) 561-9538
NPI assigned
Dec 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2014

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

Authorized official

Name
Mr. Kenneth C Johnson
Title
Owner
Phone
(603) 232-0972

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 601444 ME Primary

Addresses

Primary practice location

30 Summer St
Suite 5
Bangor, ME 04401-6467

Mailing address

156 Harvey Rd
Londonderry, NH 03053-7449
Phone (603) 232-0972

Other names 1

  • MAS Home Care of Maine Doing business as

National Provider Directory

National Provider Directory

Locations

147 Waldo Ave
Ste 106
Belfast, ME 04915
Phone (207) 218-1170

1180 Lisbon St
Ste 101
Lewiston, ME 04240
Phone (207) 591-4157

21 Saco St
Westbrook, ME 04092
Phone (207) 591-4157

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1259712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391558400000",
    "number": "1487982450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 HARVEY RD",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030537449",
            "telephone_number": "603-232-0972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 SUMMER ST",
            "address_2": "SUITE 5",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016467",
            "telephone_number": "207-561-9533",
            "fax_number": "207-561-9538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAS MEDICAL STAFFING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-02",
        "last_updated": "2014-02-05",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-232-0972",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ME",
            "license": "601444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAS Home Care of Maine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 5, 2014; 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.