Organization Active NPI

Fal River Health Center

  • Family Medicine Physician
  • Falmouth, ME
National Provider Identifier
1720195324
Registry record updated Nov 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C66296 Issued in ME
Legal business name
FAL RIVER HEALTH CENTER
Practice address
202 Route 1
Suite 203
Falmouth, ME 04105-1327
Phone
(207) 781-7880
Fax
(207) 781-7882
NPI assigned
Aug 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2008

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

Authorized official

Name
Paul J Balzer, M.D.NPI 1295719391
Title
Physician
Phone
(207) 781-7880

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X C66296 ME Primary

Addresses

Primary practice location

202 Route 1
Suite 203
Falmouth, ME 04105-1327

Mailing address

202 Route 1
Suite 203
Falmouth, ME 04105-1327
Phone (207) 781-7880

Other identifiers 7

IdentifierTypeStateIssuer
033460857OtherMETRICARE
3443855OtherMEAETNA HMO
2545615OtherMECIGNA
C66296OtherMEHARVARD PILGRIM
403850000MedicaidME
022397OtherMEANTHEM
7914559OtherMEAETNA PPO

National Provider Directory

National Provider Directory

Locations

5 Bucknam Rd
Ste 2D
Falmouth, ME 04105
Phone (207) 781-1840

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225670400000",
    "number": "1720195324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 ROUTE 1",
            "address_2": "SUITE 203",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041051327",
            "telephone_number": "207-781-7880",
            "fax_number": "207-781-7882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 ROUTE 1",
            "address_2": "SUITE 203",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041051327",
            "telephone_number": "207-781-7880",
            "fax_number": "207-781-7882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAL RIVER HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2008-11-03",
        "status": "A",
        "authorized_official_last_name": "BALZER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "207-781-7880",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "C66296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "033460857",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "3443855",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2545615",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "C66296",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "403850000",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "022397",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "7914559",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Falmouth, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2008; 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.