NPIMap

Organization Active NPI

Augusta School Based Health Center

  • Student Health Clinic/Center
  • Augusta, ME
National Provider Identifier
1497054191
Registry record updated Mar 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
License
2097 Issued in ME
Legal business name
AUGUSTA SCHOOL BASED HEALTH CENTER
Practice address
60 Pierce Dr
Augusta, ME 04330-0619
Phone
(207) 620-8345
NPI assigned
Mar 21, 2011
Last updated
Mar 21, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2011

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

Authorized official

Name
Mrs. Tina Meserve
Title
Administrator
Phone
(207) 626-2468

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X 2097 ME Primary

Addresses

Primary practice location

60 Pierce Dr
Augusta, ME 04330-0619

Mailing address

12 Gedney St
Augusta, ME 04330-4440
Phone (207) 626-2468

Other names 1

  • Cony School Based Health Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Augusta School Based Health Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

12 Gedney St
Augusta, ME 04330
Phone (207) 626-2464

60 Pierce Dr
Augusta, ME 04330
Phone (207) 620-8345

Practitioners & affiliated clinicians

Practitioners 6

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": "1300665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300665600000",
    "number": "1497054191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 GEDNEY ST",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043304440",
            "telephone_number": "207-626-2468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 PIERCE DR",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043300619",
            "telephone_number": "207-620-8345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUGUSTA SCHOOL BASED HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-21",
        "last_updated": "2011-03-21",
        "status": "A",
        "authorized_official_last_name": "MESERVE",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "207-626-2468",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "ME",
            "license": "2097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cony School Based Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Augusta, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2011; 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.