NPIMap

Organization Active NPI

York County Community Action Corp

Doing business as York County Community Health Care Shelter Site

  • Federally Qualified Health Center (FQHC)
  • Alfred, ME
National Provider Identifier
1972803989
Registry record updated Sep 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
YORK COUNTY COMMUNITY ACTION CORP
Doing business as
York County Community Health Care Shelter Site
Practice address
147 Shaker Hill Rd
Alfred, ME 04002-3253
Phone
(207) 490-6900
NPI assigned
Oct 25, 2010
Last updated
Sep 23, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2011

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

Authorized official

Name
Ms. Diane Laurendeau
Title
Cfo
Phone
(207) 324-2908

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

147 Shaker Hill Rd
Alfred, ME 04002-3253

Mailing address

6 Spruce St
P.O. Box 72
Sanford, ME 04073-2917
Phone (207) 324-5762

Other identifiers 1

IdentifierTypeStateIssuer
000216073MedicaidME

Other names 1

  • YORK COUNTY COMMUNITY HEALTH CARE SHELTER SITE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090225000610 ME Part B Supplier - Clinic/Group Practice 5496701153 Receives reassigned benefits from 24 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Biddeford, ME; Springvale, ME

Other NPIs on the same Medicare enrollment 5

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

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1287964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316736000000",
    "number": "1972803989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 SPRUCE ST",
            "address_2": "P.O. BOX 72",
            "city": "SANFORD",
            "state": "ME",
            "postal_code": "040732917",
            "telephone_number": "207-324-5762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 SHAKER HILL RD",
            "city": "ALFRED",
            "state": "ME",
            "postal_code": "040023253",
            "telephone_number": "207-490-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YORK COUNTY COMMUNITY ACTION CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-25",
        "last_updated": "2011-09-23",
        "status": "A",
        "authorized_official_last_name": "LAURENDEAU",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "207-324-2908",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000216073",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "YORK COUNTY COMMUNITY HEALTH CARE SHELTER SITE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alfred, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.