OrganizationActive
Spruce Run - Th Program
NPI 1619114634 · Case Management Agency · Bangor, ME
Spruce Run - Th Program is a Case Management Agency organization in Bangor, ME (NPI 1619114634).
Provider details
- NPI number
- 1619114634
- Entity type
- Organization
- Primary specialty
- Case Management AgencyAgencies
- Organization subpart
- No
- Authorized official
- Dorathy Martel, Grants(207) 945-5102
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
77 Essex
Bangor, ME 04402
Phone: (207) 945-5102
Fax: (207) 990-4252
Street-level locationGet directions
Mailing address
P.o. Box 653
Bangor, ME 04402-0653
Registry dates
- Enumerated
- 2009-01-13
- Last updated
- 2009-01-13
Frequently asked questions
- What is Spruce Run - Th Program's NPI number?
- Spruce Run - Th Program's National Provider Identifier (NPI) is 1619114634, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Spruce Run - Th Program?
- Spruce Run - Th Program is classified in the NPPES registry as Case Management Agency (Agencies).
- Where is Spruce Run - Th Program located?
- Spruce Run - Th Program's practice location on file with NPPES is 77 Essex, Bangor, ME 04402.
- What is Spruce Run - Th Program's phone number?
- The practice phone number listed in the NPPES registry for Spruce Run - Th Program is (207) 945-5102.
- Who is the authorized official for Spruce Run - Th Program?
- The authorized official listed on Spruce Run - Th Program's NPPES record is Dorathy Martel, Grants. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Spruce Run - Th Program's NPI active?
- Yes — Spruce Run - Th Program's NPI (1619114634) is active in the NPPES registry as of the last update on 2009-01-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.