MRS. SANDRA SUE BERUBE (NPI# 1326441361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326441361 |
Entity Type | Individual |
Full Name | MRS. SANDRA SUE BERUBE |
Practice Address |
396 Country Club Rd Sanford ME 04073-5226 |
Practice Telephone | 2076083198 |
Mailing Telephone | 2076083198 |
Enumeration Date | 2014-10-05 |
Last Update Date | 2014-10-05 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 246RP1900X |
Technician, Pathology Specialization: Phlebotomy |
ME | Technologists, Technicians & Other Technical Service Providers | |
N | 246Z00000X | Specialist/Technologist, Other | ME | Technologists, Technicians & Other Technical Service Providers | |
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
ME | Ambulatory Health Care Facilities |
Street Address |
396 COUNTRY CLUB RD |
City | SANFORD |
State | ME |
Zip Code | 04073-5226 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326551888 | Casey Hope Lapierre | Chiropractor | 21 Daigle Lane, Sanford, ME 04073 | 2017-11-07 |
1619404860 | Matthew Jason Holt | Counselor | 469 Main Street, Suite 201, Sanford, ME 04073 | 2017-05-18 |
1023556776 | Grace Street Services, LLC | Substance Abuse Rehabilitation Facility | 69 Eagle Drive, Sanford, ME 04073 | 2017-02-02 |
1730639311 | Kathleen Ann Coward | Denturist | 1200 Main Street, Sanford, ME 04073 | 2016-10-07 |
1437522174 | We Care Home Care | Home Health | 38 Brook St Apt A, Sanford, ME 04073 | 2015-11-03 |
1619231602 | Paul E. Beaudoin | Dentist | 2 Stilson Street, Sanford, ME 04073 | 2012-06-25 |
1730332685 | York County Community Action Corps | Case Management | 35 Island Ave., Sanford, ME 04073 | 2008-10-23 |
1205031788 | Douglas W. Rainforth | Specialist | Goodall Occupational Health Clinic, 13july St., Sanford, ME 04073 | 2007-06-15 |
1275742645 | Janet S Steffens | Speech-Language Pathologist | Center for Communication, 1280 Main Street, Sanford, ME 04073 | 2007-05-22 |
1003033358 | Lauren M Torch | Social Worker | 890 Main Street, Suite 118 Lower Midtown Mall, Sanford, ME 04073 | 2007-04-19 |
Find all providers in zip 04073 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
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1073712337 | Doctors Vital Care and Screening, Pllc | Clinic/Center | 150 N Steele St, Sanford, NC 27330-3918 | 2007-07-16 |
1528233012 | Carolina Medicine, P.C. | Clinic/Center | 310 Court Square, Sanford, NC 27330-5657 | 2008-04-25 |
1659571404 | Primary Care Associates of Florida LLC | Clinic/Center | 1403 Medical Plaza Dr, Suite 107, Sanford, FL 32771-1000 | 2007-07-20 |
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1811419823 | Lincoln Medical Practice | Clinic/Center | 124 Canal St Ste C, Lewiston, ME 04240-7711 | 2017-07-11 |
1902229040 | Appleton Medical Center | Clinic/Center | 658 Main Rd N, Hampden, ME 04444-1904 | 2014-01-25 |
1447693965 | Charette Primary Health Care | Clinic/Center | 1063 Allagash Rd Ste 1, Allagash, ME 04774-4010 | 2013-04-15 |
1912160839 | Sebasticook Valley Hospital | Clinic/Center | 447 Main Rd, Carmel, ME 04419-3547 | 2008-07-10 |
1184788721 | Community Health and Counseling Services | Clinic/Center | 52 Christian Ridge Rd Ste B, Ellsworth, ME 04605 | 2006-12-20 |
1083623045 | Rodolphe Camy | Clinic/Center | 163 Van Buren Road, Suite # 6, Caribou, ME 04736 | 2006-08-07 |
1417515461 | K Beladi Fnp LLC | Clinic/Center | 100 Brickhill Ave Ste 304, South Portland, ME 04106-1999 | 2019-06-04 |
1225559776 | Heather A Sharkey Do Pa | Clinic/Center | 10 Forest Falls Dr Stop 11, Yarmouth, ME 04096-4900 | 2017-07-05 |
1861931404 | Katahdin Valley Health Center | Clinic/Center | 529 S Patten Rd, Patten, ME 04765-3007 | 2017-02-15 |
1558803221 | John Hardman Medical Institute | Clinic/Center | 86 New Meadows Rd, West Bath, ME 04530-6292 | 2016-11-13 |
Find all providers with the same taxonomy |
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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.