H. D. GOODALL HOSPITAL, INC.
Custodial Care Facility
Sanford, Maine
Provider NPI: 1487898912
Organization Information:Organization Name: H. D. GOODALL HOSPITAL, INC.
Practice Location:
25 JUNE ST SANFORD, ME 04073 US
Tel: 207-324-4310 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
25 JUNE ST SANFORD, ME 04073 US
Tel: 207-324-4310 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 311Z00000X | Nursing & Custodial Care Facilities Custodial Care Facility | ME | 2264 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
101480201 | ME | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin