York County Community Action Corp
Organization Active NPI Federally Qualified Health Center (FQHC) · Springvale, ME
NPI 1700217080 · NPPES record last updated Mar 31, 2016
Key facts
- NPI
- 1700217080
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- YORK COUNTY COMMUNITY ACTION CORP
- Practice address
- 15 Oak St
Springvale, ME 04083-1926 - Phone
- (207) 490-6900
- Fax
- (207) 324-0546
- NPI assigned
- Dec 11, 2013
- Organization subpart
- No
Authorized official
- Name
- Diane Laurendeau
- Title
- Cfo
- Phone
- (207) 459-2908
Other NPIs on the same Medicare enrollment 5
Practitioners 8
-
Eliza M Burwell, LCSW
-
Melanie Busey, APRN
-
Jennifer Dodson, NP
-
Elise Grabowski, DMD
-
Patrick L Pine, MD
-
William S Winslow, LMSW, CADC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090225000610 | ME | Part B Supplier - Clinic/Group Practice | 5496701153 |
Receives reassigned benefits from 24 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Biddeford, ME; Springvale, ME |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
15 Oak St
Springvale, ME 04083-1926
Mailing address
6 Spruce St
Sanford, ME 04073-2917
Phone (207) 324-5762
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000216073 | Medicaid | ME |
Other names
- Nasson Health Care
Other providers in Springvale, ME
- Terah Rebekah Watson
- Roberta P. Wentworth
- Christina M. Wilson
- York County Community Action Corp
- York County Community Action Corp
- York County Community Action Corp
- York County Community Action Corps
All providers in Springvale, ME · Federally Qualified Health Center (FQHC) in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.