CASCO BAY ENDOSCOPY NPI 1538139001

NPI Information

NPI: 1538139001
Provider Name: CASCO BAY ENDOSCOPY
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
25 LONG CREEK DR
SOUTH PORTLAND, ME
ZIP 04106
Phone: (207) 879-0094
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CASCO BAY ENDOSCOPY is an ambulatory surgical clinic center in South Portland, ME. CASCO BAY ENDOSCOPY NPI is 1538139001. The provider is registered as an organization entity type.

The provider's business location address is:

25 LONG CREEK DR
SOUTH PORTLAND, ME
ZIP 04106-440
Phone: (207) 879-0094
Fax: (207) 879-0095

The provider's authorized official is Christine Marie Daigle .
The authorized official title is Billing Manager and has the following contact phone number (207) 879-0094.

The enumeration date for this NPI number is 1/25/2006 and was last updated on 5/7/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical	36277	MAINE	Yes

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
1	P00057120	OTHER	MAINE	RAILROAD MEDICARE
2	201019	MEDICARE PIN	MAINE
3	135850000	MEDICAID	MAINE

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

NPI Synchronization or Removal

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