Provider Demographics
NPI:1285963090
Name:MORRISON CENTER
Entity type:Organization
Organization Name:MORRISON CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:SLEEPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-808-5033
Mailing Address - Street 1:60 CHAMBERLAIN ROAD
Mailing Address - Street 2:PO BOX 1539
Mailing Address - City:SCARBOROUGH
Mailing Address - State:ME
Mailing Address - Zip Code:04070-1539
Mailing Address - Country:US
Mailing Address - Phone:207-883-6680
Mailing Address - Fax:207-883-6695
Practice Address - Street 1:60 CHAMBERLAIN ROAD
Practice Address - Street 2:
Practice Address - City:SCARBOROUGH
Practice Address - State:ME
Practice Address - Zip Code:04070-1539
Practice Address - Country:US
Practice Address - Phone:207-883-6680
Practice Address - Fax:207-883-6695
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-08
Last Update Date:2018-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME102560400Medicaid