CHARLOTTE WHITE CENTER (NPI# 1649337197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649337197 |
Entity Type | Organization |
Organization Name | CHARLOTTE WHITE CENTER |
Practice Address |
59 River St Dover Foxcroft ME 04426-1322 |
Mailing Address |
Po Box 380 572 Bangor Road Dover Foxcroft ME 04426-0380 |
Practice Telephone | 2075642464 |
Practice Fax Number | 2075642404 |
Mailing Telephone | 2075642464 |
Mailing Fax Number | 2045642404 |
Enumeration Date | 2007-01-03 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MS. LYNN M LAMB (CREDENTIALING COORDINATOR) |
Authorized Official Telephone | 2075642464 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154497030 | Charlotte White Center | Community Based Residential Treatment Facility, Mental Illness | 9 Paul St, Dover Foxcroft, ME 04426-1050 | 2006-11-24 |
1588738082 | Charlotte White Center | Contractor | 572 Bangor Rd, Dover Foxcroft, ME 04426-3373 | 2006-11-17 |
1588737985 | Charlotte White Center | Residential Treatment Facility, Emotionally Disturbed Children | 487 Garland Rd, Dexter, ME 04930-2652 | 2006-11-16 |
1811315062 | Charlotte White Center | Community/Behavioral Health | 572 Bangor Rd, Dover Foxcroft, ME 04426-3373 | 2014-04-04 |
1497002943 | Charlotte White Center | Custodial Care Facility | 487 Garland Rd, Dexter, ME 04930-2652 | 2012-08-14 |
1942526181 | Charlotte White Center | Community/Behavioral Health | 572 Bangor Rd, Dover Foxcroft, ME 04426-3373 | 2010-04-13 |
1003059049 | Charlotte White Center | Custodial Care Facility | 572 Bangor Rd, Dover Foxcroft, ME 04426-3373 | 2009-04-07 |
1063588606 | Charlotte White Center | Day Training, Developmentally Disabled Services | 572 Bangor Rd, Dover Foxcroft, ME 04426 | 2006-11-27 |
1447325733 | Charlotte White Center | Community/Behavioral Health | 572 Bangor Rd, Dover Foxcroft, ME 04426 | 2006-11-21 |
Street Address |
59 RIVER ST |
City | DOVER FOXCROFT |
State | ME |
Zip Code | 04426-1322 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205835550 | Carol W Ippoliti | Social Worker | 59 River St, Dover Foxcroft, ME 04426-1322 | 2005-07-19 |
1073709713 | Chrisitie L Hesseltine | Social Worker | 59 River St, Dover Foxcroft, ME 04426-2300 | 2007-09-17 |
1306030457 | Patricia V Kelleher | Counselor | 59 River St, Dover Foxcroft, ME 04426-2300 | 2007-08-31 |
1700869047 | B. Anne Perkins | Counselor | 59 River St, Dover Foxcroft, ME 04426-1322 | 2005-11-21 |
1376525261 | Melissa A. Peakes-stevens | Social Worker | 59 River St, Dover Foxcroft, ME 04426-1322 | 2005-11-16 |
1639178759 | Richard E Davis | Social Worker | 59 River St, Dover Foxcroft, ME 04426-1322 | 2005-07-20 |
1831198183 | Joanna M Condon | Social Worker | 59 River St, Dover Foxcroft, ME 04426-1322 | 2005-07-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710429691 | Rachel Fillmore | Counselor | 121 Summer St, Dover Foxcroft, ME 04426 | 2016-11-09 |
1215256763 | Kristen Fowles Goddard | Genetic Counselor, MS | 897 West Main Street, Dover-foxcroft, ME 04426 | 2010-05-24 |
1407088131 | Kylie Jalene Spratt | Speech-Language Pathologist | 50 Pine Crest Drive, Dover Foxcroft, ME 04426 | 2009-08-13 |
1730323205 | Two Rivers Child Development Services | Occupational Therapist | 1092a Douty Hill Road, Dover Foxcroft, ME 04426 | 2009-04-28 |
1548463623 | Mrh Corp. | General Acute Care Hospital | 897 W Main Street, Dover Foxcroft, ME 04426 | 2007-06-07 |
1992845101 | Elizabeth A. Carolin | Social Worker | 572 Bangor Rd., Dover Foxcroft, ME 04426 | 2007-02-07 |
1679583678 | Richard Clarke Macdonald | General Practice | 3 Forest St, Dover-foxcroft, ME 04426 | 2006-08-09 |
1659327187 | Shaws Supermarkets Inc | Durable Medical Equipment & Medical Supplies | 1073 W Main St, Suite 9, Dover Foxcroft, ME 04426 | 2006-05-26 |
1730143439 | Sheila M Miller | Optometrist | 31 North St, Dover Foxcroft, ME 04426 | 2006-04-12 |
1588625602 | Howard A Sleeper | Optometrist | 5 Monument Square Ln, Dover Foxcroft, ME 04426 | 2006-03-29 |
Find all providers in zip 04426 |
Taxonomy Code | 261QR0405X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Substance Use Disorder |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487961991 | Hope Recoverycenter | Clinic/Center | 143 Washington St., Limerick, ME 04048 | 2010-09-03 |
1336262955 | Michael Lymneos Inc. | Clinic/Center | 4 Whites Bridge Rd, Suite 300, Windham, ME 04062-5387 | 2007-04-09 |
1124101464 | Evergreen Behavioral Services | Clinic/Center | 131 Franklin Health Commons, Suite A Mt Blue Health Center, Farmington, ME 04938 | 2006-10-23 |
1952360760 | Transitions Counseling, Inc. | Clinic/Center | 583 Forest Ave, Portland, ME 04101-1547 | 2006-03-21 |
1316417397 | Guardian Portland LLC | Clinic/Center | 17 Bishop St, Portland, ME 04103-2659 | 2018-12-03 |
1922592096 | Recovery Connections of Maine | Clinic/Center | 105 Middle St, Lewiston, ME 04240-7037 | 2018-06-21 |
1104212182 | Liberty Bay Recovery Center | Clinic/Center | 343 Forest Ave, Portland, ME 04101-2006 | 2015-04-07 |
1770971236 | Recovery Maine, Inc. | Clinic/Center | 33 Main St., North Berwick, ME 03906 | 2015-01-06 |
1740688472 | Tradecraft12 Inc. | Clinic/Center | 160 Preble St, Portland, ME 04101-2426 | 2014-12-11 |
1922331941 | Sweetser | Clinic/Center | 50 Moody St, Saco, ME 04072-1536 | 2009-09-09 |
Find all providers with the same taxonomy |
City | DOVER FOXCROFT |
Zip Code | 04426 |
Please comment or provide details below to improve the information on CHARLOTTE WHITE CENTER.
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.