Active NPI
Blue B Inc
- Early Intervention Provider Agency
- Bangor, ME
National Provider Identifier
1659609576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 197820000 | Medicaid | ME |
Other names 1
- Blue Barn School
National Provider Directory
National Provider DirectoryNPI 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.