Organization Active NPI

Merrimack River Medical Services, Inc.

Doing business as Health Care Resource Centers

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lewiston, ME
National Provider Identifier
1740573161
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
MERRIMACK RIVER MEDICAL SERVICES, INC.
Doing business as
Health Care Resource Centers
Practice address
18 Mollison Way
Lewiston, ME 04240-5811
Phone
(413) 568-6600
Fax
(413) 562-8360
NPI assigned
May 18, 2011
Last updated
Jul 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Authorized official

Name
Bruce Jarvie
Title
VP, Treasurer
Phone
(214) 379-3300

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

18 Mollison Way
Lewiston, ME 04240-5811

Mailing address

1720 Lakepointe Dr
Lewisville, TX 75057-6458
Phone (214) 379-3300

Other names 1

  • Health Care Resource Centers Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Opioid treatment program
Medicare-enrolled since Jan 1, 2020

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200505000935 NH Part B Supplier - Opioid Treatment Program (Otp) 1850676354 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hudson, NH; Newington, NH; Somersworth, NH

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
20D2131840Merrimack River Medical Services, Inc18 Mollison Way, Lewiston, ME 04240Certificate of waiverJun 6, 2027

National Provider Directory

National Provider Directory

Locations

18 Mollison Way
Lewiston, ME 04240
Phone (207) 312-6860

1720 Lakepointe Dr
Lewisville, TX 75057
Phone (214) 379-3398

NPI Registry JSON

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

{
    "created_epoch": "1305676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1740573161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 LAKEPOINTE DR",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750576458",
            "telephone_number": "214-379-3300",
            "fax_number": "214-853-9018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 MOLLISON WAY",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042405811",
            "telephone_number": "413-568-6600",
            "fax_number": "413-562-8360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERRIMACK RIVER MEDICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-18",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "JARVIE",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "VP, TREASURER",
        "authorized_official_telephone_number": "214-379-3300"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Care Resource Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lewiston, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.