Provider Demographics
NPI:1720056732
Name:COMMUNITY CONCEPTS, INC
Entity Type:Organization
Organization Name:COMMUNITY CONCEPTS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MATT
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-743-7716
Mailing Address - Street 1:17-19 MARKET SQUARE
Mailing Address - Street 2:PO BOX 278
Mailing Address - City:SOUTH PARIS
Mailing Address - State:ME
Mailing Address - Zip Code:04281-0278
Mailing Address - Country:US
Mailing Address - Phone:207-743-7716
Mailing Address - Fax:207-743-6513
Practice Address - Street 1:17-19 MARKET SQUARE
Practice Address - Street 2:
Practice Address - City:SOUTH PARIS
Practice Address - State:ME
Practice Address - Zip Code:04281-0278
Practice Address - Country:US
Practice Address - Phone:207-743-7716
Practice Address - Fax:207-743-6513
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-08
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME251B00000X
251S00000X, 343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)