North Country Associates, Inc
Organization Active NPI Intellectual Disabilities Intermediate Care Facility · Jackman, ME
NPI 1871653949 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1871653949
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual Disabilities Intermediate Care Facility 315P00000X
- License
- 36354 (ME)
- Legal business name
- NORTH COUNTRY ASSOCIATES, INC
- Practice address
- 382 Main St
Jackman, ME 04945-5214 - Phone
- (207) 668-3221
- Fax
- (207) 668-4159
- NPI assigned
- Dec 11, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Glen G Cyr
- Title
- VP of Finance
- Phone
- (207) 786-3554
Corporate family (same tax ID) 7
Practitioners 3
-
Patricia S Doyle, MD
-
Jeffrey A Hobbs, PAC
-
Jose A Ventura, MD, FHM, FAAFP
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 20D0649607 | Northland Living Center | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
- Tax ID family
- North Country Associates Inc
Locations
382 Main St
Jackman, ME 04945
Phone (207) 668-3221
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | 36354 | ME | Yes |
Addresses
Primary practice location
382 Main St
Jackman, ME 04945-5214
Mailing address
179 Lisbon St
2ND Floor
Lewiston, ME 04240-7248
Phone (207) 786-3554
Other names
- Northland Living Center
Other providers in Jackman, ME
- Jeffrey A Hobbs
- Maine School Administrative District #12
- Mainegeneral Medical Center
- Douglas M Morong
- Kinjalbahen Nayak
- Penobscot Community Health Center
- Penobscot Community Health Center
- Penobscot Community Health Center
- Julia B St John
- Town of Jackman
All providers in Jackman, ME · Intellectual Disabilities Intermediate Care Facility in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.