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SPRINGY POND FARM
NPI 1962713115
Voluntary or Charitable in Otis, ME

Active since June 23, 2010
562 SPRINGY POND RD., OTIS, ME 04605(207) 356-2169 Get Directions Write a Review

NPPES record last updated: June 23, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Frequently Asked Questions
  • Organization
  • Voluntary or Charitable

About SPRINGY POND FARM

This page provides the complete NPI Profile along with additional information for Springy Pond Farm, a provider established in Otis, Maine operating as a Voluntary Or Charitable. The healthcare provider is registered in the NPI registry with number 1962713115 assigned on June 2010. The practitioner's primary taxonomy code is 251V00000X with license number CO8403 (ME). The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Mrs. Jennifer Jordan Cammack Ot/l (Occupational Therapist)

NPI
1962713115 Verify this NPI
Provider Name
SPRINGY POND FARM
Entity Type
Organization
Location Address
562 SPRINGY POND RD. OTIS, ME 04605
Location Phone
(207) 356-2169
Mailing Address
416 SPRINGY POND RD CLIFTON, ME 04428
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-23-2010
Last Update Date
06-23-2010
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Voluntary or Charitable

Taxonomy Code
251V00000X
Type
Agencies
License No.
CO8403
License State
ME

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. JENNIFER JORDAN CAMMACK OT/L

Authorized Official Title
OCCUPATIONAL THERAPIST
Authorized Official Phone
(207) 537-3369

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Frequently Asked Questions

What is SPRINGY POND FARM's NPI number?

The NPI number assigned to this healthcare provider is 1962713115, enumerated as an "organization" on June 23, 2010.

Where is the provider located?

The provider is located at 562 SPRINGY POND RD. OTIS, ME 04605 and the phone number is (207) 356-2169.

What is the provider's specialty?

Voluntary or Charitable with taxonomy code 251V00000X.