MAINEHEALTH NPI 1780788372

NPI Information

MAINEHEALTH is a nephrology internal medicine in Portland, ME. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. MAINEHEALTH NPI is 1780788372. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Maine Transplant Program.

The provider's business location address is:

19 WEST ST
PORTLAND, ME
ZIP 04102
Phone: (207) 662-7180
Fax: (207) 662-7190

The provider's authorized official is Lugene Anthony Inzana .
The authorized official title is Svp Finance/cfo and has the following contact phone number (207) 662-3538.

The CLIA number assigned to this NPI record is 20D2163591 - hospital with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 9/12/2006 and was last updated on 12/19/2022.

Taxonomy Codes

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