MAINEGENERAL MEDICAL CENTER NPI 1285672436

NPI Information

NPI: 1285672436
Provider Name: MAINEGENERAL MEDICAL CENTER
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
35 MEDICAL CENTER PARKWAY
AUGUSTA, ME
ZIP 04330
Phone: (207) 872-4454
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MAINEGENERAL MEDICAL CENTER is an end-stage renal disease (esrd) treatment clinic center in Augusta, ME. MAINEGENERAL MEDICAL CENTER NPI is 1285672436. The provider is registered as an organization entity type.

The provider's business location address is:

35 MEDICAL CENTER PARKWAY
AUGUSTA, ME
ZIP 04330
Phone: (207) 872-4454
Fax: (207) 872-4467

The provider's authorized official is Terrance Brann .
The authorized official title is Cfo and has the following contact phone number (207) 626-1230.

The enumeration date for this NPI number is 6/2/2006 and was last updated on 8/26/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	282N00000X	General Acute Care Hospital		37283	MAINE	No
2	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment	1817	MAINE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	154420000	MEDICAID	MAINE

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

NPI Synchronization or Removal

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