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MIDCOAST MEDICINE PA NPI 1346328242


NPI Information

NPI: 1346328242
Provider Name: MIDCOAST MEDICINE, PA
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 20D0712450

Address:
195 UNION STREET
ROCKPORT, ME
ZIP 04856
Phone: (207) 236-2169
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MIDCOAST MEDICINE, PA is a family medicine in Rockport, ME. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MIDCOAST MEDICINE, PA NPI is 1346328242. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

195 UNION STREET
ROCKPORT, ME
ZIP 04856
Phone: (207) 236-2169
Fax: (207) 230-0413

The provider's authorized official is Chris Mcintosh .
The authorized official title is Practice Manager and has the following contact phone number (207) 236-2169.

The CLIA number assigned to this NPI record is 20D0712450 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 3/25/2011.


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
1207Q00000XFamily MedicineMAINEYes

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
1MM6528MEDICARE ID-TYPE UNSPECIFIEDMAINE
2130430000MEDICAIDMAINE

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: 5/5/2024

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