Organization Active NPI

Msad 60

  • Case Management Agency
  • North Berwick, ME
National Provider Identifier
1740300417
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
MSAD 60
Practice address
21 Main Street
North Berwick, ME 03906-0819
Phone
(207) 676-2234
Fax
(207) 676-3219
NPI assigned
Mar 29, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Paul J Andrade
Title
Superintendent
Phone
(207) 676-2234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X ME Primary

Addresses

Primary practice location

21 Main Street
North Berwick, ME 03906-0819

Mailing address

PO Box 819
21 Main Street
North Berwick, ME 03906-0819
Phone (207) 676-2234

Other identifiers 1

IdentifierTypeStateIssuer
4315115000MedicaidME

National Provider Directory

National Provider Directory
Tax ID family
Msad 604 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740300417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 819",
            "address_2": "21 MAIN STREET",
            "city": "NORTH BERWICK",
            "state": "ME",
            "postal_code": "039060819",
            "telephone_number": "207-676-2234",
            "fax_number": "207-676-3219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 MAIN STREET",
            "city": "NORTH BERWICK",
            "state": "ME",
            "postal_code": "039060819",
            "telephone_number": "207-676-2234",
            "fax_number": "207-676-3219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MSAD 60",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDRADE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "207-676-2234",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "ME",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4315115000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Berwick, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.