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MAINEGENERAL HEALTH ASSOCIATES NPI 1285690263


NPI Information

NPI: 1285690263
Provider Name: MAINEGENERAL HEALTH ASSOCIATES

Doing Business As: KENNEBEC PEDIATRICS

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 20D0675001

Address:
263 WATER ST
AUGUSTA, ME
ZIP 04330
Phone: (207) 623-2977
Get Directions

MAINEGENERAL HEALTH ASSOCIATES is a pediatrics in Augusta, ME. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. MAINEGENERAL HEALTH ASSOCIATES NPI is 1285690263. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Kennebec Pediatrics.

The provider's business location address is:

263 WATER ST
AUGUSTA, ME
ZIP 04330-609
Phone: (207) 623-2977
Fax: (207) 626-9374

The provider's authorized official is Barbara A Crowley .
The authorized official title is President, Mgha and has the following contact phone number (207) 626-1063.

The CLIA number assigned to this NPI record is 20D0675001 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/26/2006 and was last updated on 10/4/2007.


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
1363L00000XNurse PractitionerNo
2363A00000XPhysician AssistantNo
3208000000XPediatricsYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1MM8569MEDICARE PINMAINE

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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