Organization
MAPS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER RAND (CHIEF FINANCIAL OFFICER)
(207) 775-4101
Entity
Organization
Contact information
Practice address
100 BRICKHILL AVE, SOUTH PORTLAND, ME 04106-1999
(207) 775-4101
Mailing address
100 BRICKHILL AVE, SOUTH PORTLAND, ME 04106-1999
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
576160
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457593287
—
ME
05
—
1538484266
—
ME
05
—
431730800
—
ME
Enumeration date
10/14/2011
Last updated
10/14/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up