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CONVENIENTMD LLC NPI 1265103345


NPI Information

NPI: 1265103345
Provider Name: CONVENIENTMD LLC
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 20D2247614

Address:
10 WHITTEN RD
AUGUSTA, ME
ZIP 04330
Phone: (207) 466-2400
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CONVENIENTMD LLC is an urgent care clinic center in Augusta, ME. CONVENIENTMD LLC NPI is 1265103345. The provider is registered as an organization entity type.

The provider's business location address is:

10 WHITTEN RD
AUGUSTA, ME
ZIP 04330-019
Phone: (207) 466-2400

The provider's authorized official is Jarod Boissonneault .
The authorized official title is Director Of Revenue Cycle Mgt and has the following contact phone number (603) 319-6223.

The CLIA number assigned to this NPI record is 20D2247614 - other - urgent care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/28/2021 and was last updated on 9/28/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QU0200XClinic/CenterUrgent CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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