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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GREAT BAY SERVICES

Deactivated Organization

Developmental Disabilities Clinic · SANFORD, ME

This NPI has been deactivated. The record was deactivated on June 10, 2020. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1780827881
Provider Type
Organization
NPI Issued
Apr 20, 2009 (11.139726027397 yrs)
Last Updated
Jun 6, 2023
Deactivated
Jun 10, 2020
License
ALLS2515 (ME)

Practice Information

Address
61 WASHINGTON ST STE 4
SANFORD, ME, 040733093
Browse ME providers · Browse ZIP 04073
Phone
2078501053
Fax
2078501078
Primary Specialty
Developmental Disabilities Clinic
261QD1600X
Additional Specialty
Home Health

Other Developmental Disabilities Clinic Organizations in SANFORD, ME

Name NPI
GREAT BAY SERVICES 1245626316
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.