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MAINE MEDICAL CENTER PLC NPI 1437453461


NPI Information

NPI: 1437453461
Provider Name: MAINE MEDICAL CENTER PLC

Doing Business As: DOWN EAST MEDICAL CENTER

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 23D0376769

Address:
5555 GULL RD
SUITE 201
KALAMAZOO, MI
ZIP 49048
Phone: (269) 385-2781
Get Directions

MAINE MEDICAL CENTER PLC is a family medicine in Kalamazoo, MI. 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. MAINE MEDICAL CENTER PLC NPI is 1437453461. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Down East Medical Center.

The provider's business location address is:

5555 GULL RD
SUITE 201
KALAMAZOO, MI
ZIP 49048-640
Phone: (269) 385-2781
Fax: (269) 343-3450

The provider's authorized official is Donald C Doyle .
The authorized official title is Owner/physican and has the following contact phone number (269) 385-2781.

The CLIA number assigned to this NPI record is 23D0376769 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/5/2011 and was last updated on 1/5/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine4301035080MICHIGANYes

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
10N14100MEDICARE PINMICHIGAN
2B46159MEDICARE UPINMICHIGAN
34232845 10MEDICAIDMICHIGAN

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: 11/14/2023

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