Provider Demographics
NPI:1598934895
Name:HEALTH CARE TODAY ASSOCIATES PA
Entity Type:Organization
Organization Name:HEALTH CARE TODAY ASSOCIATES PA
Other - Org Name:SCARBOROUGH HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:MERRILL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:207-883-8100
Mailing Address - Street 1:69 US ROUTE 1
Mailing Address - Street 2:6 SCIENCE PARK ROAD
Mailing Address - City:SCARBOROUGH
Mailing Address - State:ME
Mailing Address - Zip Code:04074-9374
Mailing Address - Country:US
Mailing Address - Phone:207-883-8100
Mailing Address - Fax:207-883-8756
Practice Address - Street 1:69 US ROUTE 1
Practice Address - Street 2:6 SCIENCE PARK ROAD
Practice Address - City:SCARBOROUGH
Practice Address - State:ME
Practice Address - Zip Code:04074-9374
Practice Address - Country:US
Practice Address - Phone:207-883-8100
Practice Address - Fax:207-883-8756
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-21
Last Update Date:2011-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME119510000Medicaid
MEMM0357Medicare PIN