SPRUCE RUN - TH PROGRAM (NPI# 1619114634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619114634 |
| Entity Type | Organization |
| Organization Name | SPRUCE RUN - TH PROGRAM |
| Practice Address |
77 Essex Bangor ME 04402 |
| Mailing Address |
P.o. Box 653 Bangor ME 04402-0653 |
| Practice Telephone | 2079455102 |
| Practice Fax Number | 2079904252 |
| Mailing Telephone | 2079455102 |
| Mailing Fax Number | 2079904252 |
| Enumeration Date | 2009-01-13 |
| Last Update Date | 2009-01-13 |
| Authorized Official Name | DORATHY MARTEL (GRANTS) |
| Authorized Official Telephone | 2079455102 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 432212700 | 05 |
| Street Address |
77 ESSEX |
| City | BANGOR |
| State | ME |
| Zip Code | 04402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750896312 | Savanna Rae Power | Social Worker | 1200 Ohio St., Bangor, ME 04402 | 2017-12-05 |
| 1326319716 | Rachel Audrey Booker | Nurse Practitioner | 42 Cedar St., Bangor, ME 04402 | 2012-01-18 |
| 1659464584 | Penobscot Community Health Center | Family Medicine | 992 Union St. Suite J, Bangor, ME 04402 | 2006-10-02 |
| 1659463040 | Brent Scobie | Social Worker | Acadia Hospital Corp, 268 Stillwater Avenue, Bangor, ME 04402 | 2006-09-29 |
| 1245719921 | Amber Munoz | Social Worker | 268 Stillwater Ave, Bangor, ME 04402 | 2018-08-13 |
| 1457415184 | Community Health and Counseling Services | Community/Behavioral Health | 42 Cedar St, Bangor, ME 04402 | 2006-12-20 |
| 1588671754 | Scott A Thomas | Emergency Medicine | 360 Broadway, Emergency Department, Bangor, ME 04402 | 2006-08-01 |
| 1164594057 | Amy Cotton | Nurse Practitioner | 885 Union Street, Suite 221, Bangor, ME 04402-0404 | 2006-11-15 |
| 1558579805 | Terry Mosher | Nurse Practitioner | 268 Stillwater Avenue, Acadia Hospital Corp, Bangor, ME 04402-0422 | 2007-05-18 |
| 1356476436 | Nancy J Grover | Nurse Practitioner | 42 Cedar Street, Bangor, ME 04402-0425 | 2007-02-22 |
| Find all providers in zip 04402 | ||||
| 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 |
| 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 |
| 1154565141 | Good Samaritan Agency | Case Management | 100 Ridgewood Dr, Bangor, ME 04401-2652 | 2009-04-22 |
| 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.