SPRINGY POND FARM


Address: 562 Springy Pond Rd., Otis, ME 04605
Phone: 2073562169

SPRINGY POND FARM (NPI# 1962713115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962713115
Entity Type Organization
Organization Name SPRINGY POND FARM
Practice Address 562 Springy Pond Rd.
Otis
ME 04605
Mailing Address 416 Springy Pond Rd
Clifton
ME 04428-6175
Practice Telephone 2073562169
Enumeration Date 2010-06-23
Last Update Date 2010-06-23
Authorized Official Name MRS. JENNIFER JORDAN CAMMACK (OCCUPATIONAL THERAPIST)
Authorized Official Telephone 2075373369
Authorized Official Credential OT/L
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251V00000X Voluntary or Charitable CO8403 ME Agencies

Office Location

Street Address 562 SPRINGY POND RD.
City OTIS
State ME
Zip Code 04605

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1215238431 Kimberly Ann Burgess Social Worker 23 Carriage Way, Ellsworth, ME 04605 2010-11-04
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Taxonomy Information

Taxonomy Code 251V00000X
Grouping Agencies
Classification Voluntary or Charitable

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1144507203 Prymca Voluntary or Charitable 48 Park St, Dover Foxcroft, ME 04426-1000 2011-11-03
1336420827 Higher Ground Christian Counseling Voluntary or Charitable 435 Us Route 1, Kittery, ME 03904-2510 2011-08-29
1366641045 The Jason Program Voluntary or Charitable 65 Washington Ave, Portland, ME 04101 2007-07-13
1609983907 Motivational Services Inc Voluntary or Charitable 14 Glenridge Dr, Augusta, ME 04330-6606 2006-08-23
1124032347 Pine Tree Society Inc Voluntary or Charitable 149 Front St, Bath, ME 04530-2610 2006-07-27
1013987684 Woodfords Congregational Church, U.c.c. Voluntary or Charitable 202 Woodford St, Portland, ME 04103-5602 2006-01-25
1790951234 Oasis Health Center Voluntary or Charitable 66 Baribeau Dr, Suite 2, Brunswick, ME 04011-3230 2008-05-05
1164691309 Ladawn Therapeutic Riding Center Voluntary or Charitable 995 Goodwins Mills Rd, Dayton, ME 04005-7348 2008-02-21
1346303914 Central Maine Area Agency On Aging Voluntary or Charitable 1 Weston Ct, Augusta, ME 04330-5543 2006-12-18

Competitor

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City OTIS
Zip Code 04605

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Dataset Information

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.

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