GOOD SAMARITAN AGENCY (NPI# 1154565141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154565141 |
| Entity Type | Organization |
| Organization Name | GOOD SAMARITAN AGENCY |
| Practice Address |
100 Ridgewood Dr Bangor ME 04401-2652 |
| Practice Telephone | 2079427211 |
| Practice Fax Number | 2079900851 |
| Mailing Telephone | 2079427211 |
| Mailing Fax Number | 2079900851 |
| Enumeration Date | 2009-04-22 |
| Last Update Date | 2009-04-22 |
| Authorized Official Name | MS. DEBORAH A GIGUERE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2079427211 |
| Authorized Official Credential | L.S.W. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | LS6833 | ME | Agencies |
| N | 251B00000X | Case Management | LS5190 | ME | Agencies |
| N | 251B00000X | Case Management | LS1479 | ME | Agencies |
| Y | 251B00000X | Case Management | LS5224 | ME | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 101800100 | 05 |
| Street Address |
100 RIDGEWOOD DR |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-2652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467569129 | June Winifred Doody | Counselor | 100 Ridgewood Dr, Bangor, ME 04401-2652 | 2006-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222523 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Longview Dr, Bangor, ME 04401 | 2020-10-16 |
| 1033737937 | Daniel John Phulman | Counselor | 202 Exchange Street, Bangor, ME 04401 | 2020-07-08 |
| 1770104358 | Elizabeth Sarah Caruson | Physician Assistant | 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 | 2020-05-05 |
| 1053961300 | Erika Dean | Occupational Therapist | 84 Sylvan Rd., Bangor, ME 04401 | 2019-09-18 |
| 1942853635 | Wildworks Therapy, Pllc | Occupational Therapist | 123 Mt Hope Ave, Bangor, ME 04401 | 2019-07-22 |
| 1255999173 | Jessica Arbisi | Physician Assistant | 1 Northeast Drive, Bangor, ME 04401 | 2019-06-05 |
| 1699232041 | Ehab Khamis Elhefnawi | Anesthesiology | Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 | 2019-02-21 |
| 1477028884 | Zvorufura Makura | Otolaryngology | 885 Union Street, Ste 145, Bangor, ME 04401 | 2018-10-11 |
| 1255826541 | Lindsey M Fields | Optometrist | 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 | 2018-06-28 |
| 1992211338 | Debra J Mcintyre | Counselor | 157 Park Street, #5, Bangor, ME 04401 | 2017-12-21 |
| Find all providers in zip 04401 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952678666 | Independent Service Coordination for Me, LLC | Case Management | 1010 Stillwater Ave, Bangor, ME 04401 | 2011-11-23 |
| 1922386861 | Eastern Area Agency On Aging | Case Management | 450 Essex St, Bangor, ME 04401-3937 | 2011-07-26 |
| 1528397536 | Shaw House, Inc. | Case Management | 136 Union St, Bangor, ME 04401-6327 | 2009-12-22 |
| 1427292192 | Spruce Run Association | Case Management | 77 Essex St, Bangor, ME 04401-5301 | 2009-04-26 |
| 1619114634 | Spruce Run - Th Program | Case Management | 77 Essex, Bangor, ME 04402 | 2009-01-13 |
| 1346316643 | Nfi North, Inc | Case Management | 60 Ohio St, Bangor, ME 04401-4732 | 2006-11-28 |
| 1811480452 | Stonybrook Mental Health | Case Management | 875 Hammond St, Bangor, ME 04401-4303 | 2018-06-08 |
| 1942554456 | Maps/stepping Stones | Case Management | 6 State St Ste 310, Bangor, ME 04401-5133 | 2012-11-06 |
| 1629382726 | Making The Impossible Possible Case Management | Case Management | 273 Hammond St, Bangor, ME 04401-4610 | 2010-07-30 |
| 1427282649 | Penquis C.a.p., Inc. | Case Management | 262 Harlow St, Bangor, ME 04401-4952 | 2009-05-04 |
| Find all providers in BANGOR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.