Provider Demographics
NPI:1932241270
Name:MORRISON CENTER
Entity Type:Organization
Organization Name:MORRISON CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:SLEEPER
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:207-808-5033
Mailing Address - Street 1:60 CHAMBERLAIN RD
Mailing Address - Street 2:
Mailing Address - City:SCARBOROUGH
Mailing Address - State:ME
Mailing Address - Zip Code:04074-9192
Mailing Address - Country:US
Mailing Address - Phone:207-808-5033
Mailing Address - Fax:207-808-5030
Practice Address - Street 1:60 CHAMBERLAIN RD
Practice Address - Street 2:
Practice Address - City:SCARBOROUGH
Practice Address - State:ME
Practice Address - Zip Code:04074-9192
Practice Address - Country:US
Practice Address - Phone:207-808-5033
Practice Address - Fax:207-808-5030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-13
Last Update Date:2018-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEOT1539225X00000X, 225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME098571OtherBCBS
ME102560200Medicaid
ME432373399Medicaid
ME102560002Medicaid
ME102560300Medicaid
098548OtherANTHEM BCBS OT
ME102560100Medicaid
ME102560400Medicaid
005021OtherANTHEM BCBS SPEECH
098571OtherANTHEM BCBS PT
ME102560000Medicaid
ME102560500Medicaid