NPIMap

Organization Active NPI

Vascular Access Service of Maine P.C.

  • Nursing Care Agency
  • Gray, ME
National Provider Identifier
1821336744
Registry record updated Jan 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
RN38093 Issued in ME
Legal business name
VASCULAR ACCESS SERVICE OF MAINE P.C.
Practice address
150 Lewiston Rd
Gray, ME 04039-7502
Phone
(207) 899-5059
NPI assigned
Jan 28, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2013

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

Authorized official

Name
Mr. Charles Wade Hathaway, RN,BSN
Title
President
Phone
(207) 899-5059

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X RN38093 ME Primary

Addresses

Primary practice location

150 Lewiston Rd
Gray, ME 04039-7502

Mailing address

150 Lewiston Rd
Gray, ME 04039-7502
Phone (207) 899-5059

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1359331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359331200000",
    "number": "1821336744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 LEWISTON RD",
            "city": "GRAY",
            "state": "ME",
            "postal_code": "040397502",
            "telephone_number": "207-899-5059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 LEWISTON RD",
            "city": "GRAY",
            "state": "ME",
            "postal_code": "040397502",
            "telephone_number": "207-899-5059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASCULAR ACCESS SERVICE OF MAINE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-28",
        "last_updated": "2013-01-28",
        "status": "A",
        "authorized_official_last_name": "HATHAWAY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "WADE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-899-5059",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN,BSN"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "ME",
            "license": "RN38093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gray, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; 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.