Provider Demographics
NPI:1922465616
Name:CENTRAL MAINE CLINICAL ASSOCIATES
Entity Type:Organization
Organization Name:CENTRAL MAINE CLINICAL ASSOCIATES
Other - Org Name:NAPLES PT4U
Other - Org Type:Doing Business As
Authorized Official - Title/Position:REGIONAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MORIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-795-5646
Mailing Address - Street 1:4 MESERVE ST
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:ME
Mailing Address - Zip Code:04055-5348
Mailing Address - Country:US
Mailing Address - Phone:207-693-4202
Mailing Address - Fax:207-693-5069
Practice Address - Street 1:4 MESERVE ST
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:ME
Practice Address - Zip Code:04055-5348
Practice Address - Country:US
Practice Address - Phone:207-693-4202
Practice Address - Fax:207-693-5069
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-26
Last Update Date:2016-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy