1063431070 NPI number — JOHN F MURPHY HOMES, INC.

Table of content: DR. DAVID E VINCENT M.D. (NPI 1033167135)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1063431070 NPI number — JOHN F MURPHY HOMES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
JOHN F MURPHY HOMES, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1063431070
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/24/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
800 CENTER ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
AUBURN
Provider Business Mailing Address State Name:
ME
Provider Business Mailing Address Postal Code:
04210-6404
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
207-782-2726
Provider Business Mailing Address Fax Number:
207-333-3501

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
800 CENTER ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
AUBURN
Provider Business Practice Location Address State Name:
ME
Provider Business Practice Location Address Postal Code:
04210-6404
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
207-782-2726
Provider Business Practice Location Address Fax Number:
207-333-3501
Provider Enumeration Date:
07/19/2006

Additional Information

Authorized Official

Authorized Official Last Name:
BERGNER
Authorized Official First Name:
TAMMY
Authorized Official Middle Name:
L
Authorized Official Title or Position:
ACCOUNTS RECEIVABLE COORDINATOR
Authorized Official Telephone Number:
207-782-2726

Provider Taxonomy Codes

  • Taxonomy code: 224Z00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 225XM0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 235Z00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251C00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251S00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 252Y00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 313M00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 108920001 , issued by the state of ( ME ) . This identifiers is of the category "MEDICAID".
  • Identifier: 108920300 , issued by the state of ( ME ) . This identifiers is of the category "MEDICAID".
  • Identifier: 108920411 , issued by the state of ( ME ) . This identifiers is of the category "MEDICAID".
  • Identifier: 108920420 , issued by the state of ( ME ) . This identifiers is of the category "MEDICAID".
  • Identifier: 108920421 , issued by the state of ( ME ) . This identifiers is of the category "MEDICAID".
  • Identifier: 108920005 , issued by the state of ( ME ) . This identifiers is of the category "MEDICAID".
  • Identifier: 108920402 , issued by the state of ( ME ) . This identifiers is of the category "MEDICAID".
  • Identifier: 108920408 , issued by the state of ( ME ) . This identifiers is of the category "MEDICAID".
  • Identifier: 108920417 , issued by the state of ( ME ) . This identifiers is of the category "MEDICAID".
  • Identifier: 108920004 , issued by the state of ( ME ) . This identifiers is of the category "MEDICAID".
  • Identifier: 108920401 , issued by the state of ( ME ) . This identifiers is of the category "MEDICAID".
  • Identifier: 108920409 , issued by the state of ( ME ) . This identifiers is of the category "MEDICAID".
  • Identifier: 108920410 , issued by the state of ( ME ) . This identifiers is of the category "MEDICAID".
  • Identifier: 108920500 , issued by the state of ( ME ) . This identifiers is of the category "MEDICAID".
  • Identifier: 108920000 , issued by the state of ( ME ) . This identifiers is of the category "MEDICAID".
  • Identifier: 108920201 , issued by the state of ( ME ) . This identifiers is of the category "MEDICAID".
  • Identifier: 108920301 , issued by the state of ( ME ) . This identifiers is of the category "MEDICAID".
  • Identifier: 108920405 , issued by the state of ( ME ) . This identifiers is of the category "MEDICAID".
  • Identifier: 108920418 , issued by the state of ( ME ) . This identifiers is of the category "MEDICAID".
  • Identifier: 108920406 , issued by the state of ( ME ) . This identifiers is of the category "MEDICAID".




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