Provider Demographics
NPI:1952735995
Name:MAINE IMMIGRANT AND REFUGEE SERVICES
Entity Type:Organization
Organization Name:MAINE IMMIGRANT AND REFUGEE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RILWAN
Authorized Official - Middle Name:
Authorized Official - Last Name:OSMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-753-2700
Mailing Address - Street 1:PO BOX 7149
Mailing Address - Street 2:
Mailing Address - City:LEWISTON
Mailing Address - State:ME
Mailing Address - Zip Code:04243-7149
Mailing Address - Country:US
Mailing Address - Phone:207-753-2700
Mailing Address - Fax:207-753-2701
Practice Address - Street 1:57 BIRCH ST STE 204
Practice Address - Street 2:
Practice Address - City:LEWISTON
Practice Address - State:ME
Practice Address - Zip Code:04240
Practice Address - Country:US
Practice Address - Phone:207-753-2700
Practice Address - Fax:207-753-2701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-27
Last Update Date:2018-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME669694251S00000X, 305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization
No251S00000XAgenciesCommunity/Behavioral Health