Provider Demographics
NPI:1699178772
Name:BELINDA PILLOW
Entity Type:Organization
Organization Name:BELINDA PILLOW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BELINDA
Authorized Official - Middle Name:J
Authorized Official - Last Name:PILLOW
Authorized Official - Suffix:
Authorized Official - Credentials:RNFA
Authorized Official - Phone:207-879-3000
Mailing Address - Street 1:28 PARK ST
Mailing Address - Street 2:
Mailing Address - City:BATH
Mailing Address - State:ME
Mailing Address - Zip Code:04530-2829
Mailing Address - Country:US
Mailing Address - Phone:207-879-3000
Mailing Address - Fax:888-329-6432
Practice Address - Street 1:28 PARK ST
Practice Address - Street 2:
Practice Address - City:BATH
Practice Address - State:ME
Practice Address - Zip Code:04530-2829
Practice Address - Country:US
Practice Address - Phone:207-879-3000
Practice Address - Fax:888-329-6432
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-02
Last Update Date:2014-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MERN44854163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First AssistantGroup - Single Specialty