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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
-
dba Health Care Resource Centers
- Substance Use Disorder Rehabilitation Clinic/Center
- Portland, ME
- NPI 1912233826
O20200505000935
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Hudson, NH
- NPI 1952384299
O20200505000935
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 20D2131840 | Merrimack River Medical Services, Inc | Certificate of waiver | Jun 6, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.