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SUNBURY PRIMARY CARE P.A. NPI 1508939398


NPI Information

NPI: 1508939398
Provider Name: SUNBURY PRIMARY CARE, P.A.

Doing Business As: BANGOR FAMILY MEDICINE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
133 CORPORATE DR
SUITE 1
BANGOR, ME
ZIP 04401
Phone: (207) 947-9900
Get Directions

SUNBURY PRIMARY CARE, P.A. is a family medicine in Bangor, 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. SUNBURY PRIMARY CARE, P.A. NPI is 1508939398. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Bangor Family Medicine.

The provider's business location address is:

133 CORPORATE DR
SUITE 1
BANGOR, ME
ZIP 04401-312
Phone: (207) 947-9900
Fax: (207) 992-9292

The provider's authorized official is David L Savell .
The authorized official title is Chief Executive Officer and has the following contact phone number (207) 942-7650.

The enumeration date for this NPI number is 11/17/2006 and was last updated on 1/21/2009.


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
1363A00000XPhysician AssistantNo
2207Q00000XFamily MedicineYes

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
1MM4451MEDICARE ID-TYPE UNSPECIFIEDMAINEMEDICARE GROUP NUMBER
2124740004MEDICAIDMAINE
3=========006OTHERMAINEHEALTHNET GROUP NUMBER

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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