Mid Maine Homeless Shelter

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

MID MAINE HOMELESS SHELTER

Practice address

28 Ticonic Street
Waterville, ME 04903-2612

Phone

(207) 872-8082

Fax

(207) 872-6550

NPI assigned

Mar 20, 2008

Organization subpart

No

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

Authorized official

Name

Mike Marston

Title

Executive Director

Phone

(207) 872-8082

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205971200000",
    "number": "1730350588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2612",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049032612",
            "telephone_number": "207-872-8082",
            "fax_number": "207-872-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 TICONIC STREET",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049032612",
            "telephone_number": "207-872-8082",
            "fax_number": "207-872-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID MAINE HOMELESS SHELTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-20",
        "last_updated": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "MARSTON",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "207-872-8082"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "423860000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sally Ann Michaud, MS, OTR/L
• Stephanie Ann Michaud
• Anna Michelson, DNP, APRN, AGNP-C
• Mid Maine Chiropractic Inc
• Mid Maine Gastroenterology
• Mid Maine Oral Surgery
• Mid-Maine Oral and Maxillofacial Surgery PA
• Mid-Maine Radiology, P.a
• Jennifer Migliore
• Burton Miller

• Case Management Agency in Waterville, ME
• Providers in Waterville, 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 Mar 20, 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.