Provider Demographics
NPI:1437147303
Name:CH WRIGHT, INC.
Entity Type:Organization
Organization Name:CH WRIGHT, INC.
Other - Org Name:VARNEY CROSSING NURSING CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:ELLEN
Authorized Official - Last Name:FERNBERG
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:207-676-2242
Mailing Address - Street 1:47 ELM ST
Mailing Address - Street 2:
Mailing Address - City:NORTH BERWICK
Mailing Address - State:ME
Mailing Address - Zip Code:03906-6724
Mailing Address - Country:US
Mailing Address - Phone:207-676-2242
Mailing Address - Fax:207-676-9670
Practice Address - Street 1:47 ELM ST
Practice Address - Street 2:
Practice Address - City:NORTH BERWICK
Practice Address - State:ME
Practice Address - Zip Code:03906-6724
Practice Address - Country:US
Practice Address - Phone:207-676-2242
Practice Address - Fax:207-676-9670
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME36308314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME1167200Medicaid
ME205086Medicare ID - Type Unspecified