Ingraham is a Community/behavioral Health in Portland, Maine. Ingraham practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Ingraham is 1356496483. The last update date is 2020-08-22.
Ingraham's current location address is 50 Monument Sq, Portland, Maine. You can contact this provider via phone number 2078741055 and fax number 2077754034. The mailing address for Ingraham is 50 Monument Sq, Portland, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ingraham |
|---|---|
| Address | 50 Monument Sq, Portland, Maine |
| Phone Number | 2078741055 |
| Fax Number | 2077754034 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAL DI |
|---|---|
| Authorized Official Name | Mitchell Charles |
| Credentials | M.D. |
| Telephone Number | 2078741055 |
NPI Number Detail
| NPI Number | 1356496483 |
|---|---|
| Provider Enumeration Date | 2007-01-25 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 50 Monument Sq |
|---|---|
| City | Portland |
| State | Maine (ME) |
| Post Code | 41014039 |
| Phone Number | 2078741055 |
| Fax Number | 2077754034 |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
| Licence No | LC10806 |
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Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis |
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What is the unique provider identifier assigned to Ingraham?
The Ingraham has been issued the NPI (National Provider Identifier) 1356496483 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Ingraham's physical address?
The Ingraham is physically located at 50 Monument Sq, in the city of Portland, ME, with the postal code 41014039.
What is the Ingraham's specialty and taxonomy code?
The Ingraham's specialty is Community/behavioral Health, and the corresponding taxonomy code is 251S00000X.
When was the Ingraham's 1356496483 issued?
The Ingraham's 1356496483 was issued on 2007-01-25.
When was the information regarding Ingraham most recently updated?
The details pertaining to the Ingraham, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.
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