Midcoast Maine Community Action

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

MIDCOAST MAINE COMMUNITY ACTION

Practice address

34 Wing Farm Pkwy
Bath, ME 04530-1550

Phone

(207) 442-7963

NPI assigned

Dec 21, 2009

Last updated

Dec 21, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Jessica A Tysen

Title

Executive Director

Phone

(207) 442-7963

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1261353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261353600000",
    "number": "1700115755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 WING FARM PKWY",
            "city": "BATH",
            "state": "ME",
            "postal_code": "045301550",
            "telephone_number": "207-442-7963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 WING FARM PKWY",
            "city": "BATH",
            "state": "ME",
            "postal_code": "045301550",
            "telephone_number": "207-442-7963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDCOAST MAINE COMMUNITY ACTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-21",
        "last_updated": "2009-12-21",
        "status": "A",
        "authorized_official_last_name": "TYSEN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "207-442-7963",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elise Danielle McVeigh, D.O.
• Julie Meyer, L.AC.
• Midcoast Eye Associates, P.a.
• Midcoast Eye Associates, P.a. (Midcoast Optical Services)
• Midcoast Hospital
• Midcoast Youth Center & Skatepark
• Emily Morgan Miller, CPM LDM LM
• Daniel Austin Mills
• Ian Marek Mishler, BC-HIS
• Nikolas Mitsopoulos, PHARMD, RPH

• Case Management Agency in Bath, ME
• Providers in Bath, ME by specialty
• Case Management Agency in Maine

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