NPIMap

Organization Active NPI

Charlotte White Center

  • Community/Behavioral Health Agency
  • Dover Foxcroft, ME
National Provider Identifier
1942526181
Registry record updated Apr 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CHARLOTTE WHITE CENTER
Practice address
572 Bangor Rd
Dover Foxcroft, ME 04426-3373
Phone
(207) 564-2464
Fax
(207) 564-2404
NPI assigned
Apr 13, 2010
Last updated
Apr 13, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2010

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

Authorized official

Name
Mr. Richard M Brown
Title
Ceo
Phone
(207) 564-2464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

572 Bangor Rd
Dover Foxcroft, ME 04426-3373

Mailing address

572 Bangor Rd
Dover Foxcroft, ME 04426-3373
Phone (207) 564-2464

Other identifiers 1

IdentifierTypeStateIssuer
164840500MedicaidME

National Provider Directory

National Provider Directory
Tax ID family
Charlotte White Center10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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": "1271116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271116800000",
    "number": "1942526181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "572 BANGOR RD",
            "city": "DOVER FOXCROFT",
            "state": "ME",
            "postal_code": "044263373",
            "telephone_number": "207-564-2464",
            "fax_number": "207-564-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "572 BANGOR RD",
            "city": "DOVER FOXCROFT",
            "state": "ME",
            "postal_code": "044263373",
            "telephone_number": "207-564-2464",
            "fax_number": "207-564-2404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLOTTE WHITE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-13",
        "last_updated": "2010-04-13",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "207-564-2464",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164840500",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover Foxcroft, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2010; 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.