Provider Demographics
NPI:1417191909
Name:CENTRAL MAINE AREA AGENCY ON AGING
Entity Type:Organization
Organization Name:CENTRAL MAINE AREA AGENCY ON AGING
Other - Org Name:SPECTRUM GENERATIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:E
Authorized Official - Last Name:CURTIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-620-1680
Mailing Address - Street 1:PO BOX 2589
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:ME
Mailing Address - Zip Code:04338-2589
Mailing Address - Country:US
Mailing Address - Phone:207-623-0764
Mailing Address - Fax:207-622-7857
Practice Address - Street 1:1 WESTON CT
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:ME
Practice Address - Zip Code:04330-5543
Practice Address - Country:US
Practice Address - Phone:207-623-0764
Practice Address - Fax:207-622-7857
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CENTRAL MAINE AREA AGENCY ON AGING
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-04-28
Last Update Date:2019-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME105720300OtherMAINECARE BILLING PROVIDER