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Organization

CENTERWELL CERTIFIED HEALTHCARE CORP.

Active
Other names
CenterWell home Health
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN NICHOLS (AUTHORIZED SIGNATORY)
(207) 772-0954
Entity
Organization

Contact information

Practice address
30 ATLANTIC PL, SOUTH PORTLAND, ME 04106-2316
(207) 772-0954
Mailing address
6330 SPRINT PKWY STE 300, OVERLAND PARK, KS 66211-1157

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000015681
G2
01
013100P
G2
01
120243
G2
05
160770000
ME
05
160770003
ME
05
160770100
ME
05
160770200
ME
05
160770202
ME
01
17029
G2
01
207038
G2
01
2273784
G2
01
235397
G2
01
565800
G2
01
60-03419
G2
01
702022
G2
01
7706020
G2
01
801438
G2
Enumeration date
07/05/2006
Last updated
08/21/2024
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