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NEPHROLOGY ASSOCIATES OF CENTRAL MAINE NPI 1528085586


NPI Information

NPI: 1528085586
Provider Name: NEPHROLOGY ASSOCIATES OF CENTRAL MAINE
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 20D0713651

Address:
710 MAIN ST
LEWISTON, ME
ZIP 04240
Phone: (207) 783-1449
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NEPHROLOGY ASSOCIATES OF CENTRAL MAINE is a specialist in Lewiston, ME. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. NEPHROLOGY ASSOCIATES OF CENTRAL MAINE NPI is 1528085586. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

710 MAIN ST
LEWISTON, ME
ZIP 04240-801
Phone: (207) 783-1449
Fax: (207) 777-3865

The provider's authorized official is Douglas L. Kilgore .
The authorized official title is Practice Administrator and has the following contact phone number (207) 783-1449.

The CLIA number assigned to this NPI record is 20D0713651 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/16/2006 and was last updated on 6/11/2008.


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
1174400000XSpecialistMAINEYes

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
1152622MEDICARE ID-TYPE UNSPECIFIEDMAINE

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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