Organization
STATE OF MAINE
Active
Other names
Riverview Psychiatric Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER GAGNON (FINANCIAL MANAGER)
(207) 624-4675
Entity
Organization
Contact information
Practice address
250 ARSENAL ST, AUGUSTA, ME 04333-0011
(207) 287-2293
(207) 287-1862
Mailing address
109 CAPITOL STREET SHS #11 REIMBURSEMENT UNIT, AUGUSTA, ME 04333-0011
(207) 287-2293
(207) 287-1862
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003287
BLUE CROSS
ME
05
—
135910901
—
ME
01
—
204008
MEDICARE ID
ME
Enumeration date
07/08/2005
Last updated
06/14/2019
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