Organization Active NPI

Blue B Inc

  • Early Intervention Provider Agency
  • Bangor, ME
National Provider Identifier
1659609576
Registry record updated Dec 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
BLUE B INC
Doing business as
Blue Barn School
Practice address
306 Essex St
Bangor, ME 04401-4051
Phone
(207) 942-8508
NPI assigned
Dec 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2009

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

Authorized official

Name
Ms. Robin Cole Corey, TEACHER
Title
Director
Phone
(207) 942-8508

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X ME Primary

Addresses

Primary practice location

306 Essex St
Bangor, ME 04401-4051

Mailing address

306 Essex St
Bangor, ME 04401-4051
Phone (207) 942-8508

Other identifiers 1

IdentifierTypeStateIssuer
197820000MedicaidME

Other names 1

  • Blue Barn School Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1259884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259884800000",
    "number": "1659609576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 ESSEX ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044014051",
            "telephone_number": "207-942-8508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 ESSEX ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044014051",
            "telephone_number": "207-942-8508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE B INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-04",
        "last_updated": "2009-12-04",
        "status": "A",
        "authorized_official_last_name": "COREY",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "COLE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "207-942-8508",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "TEACHER"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "ME",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "197820000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Barn School",
            "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 Dec 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.