MY VIRTUAL MEDICAL VISIT NPI 1104570449

NPI Information

  • NPI: 1104570449
  • Provider Name: MY VIRTUAL MEDICAL VISIT
  • Classification: Clinic/Center - 261QM2500X
  • Specialization: Medical Specialty
  • Entity Type: Organization
  • CLIA Number: 20D2248878
  • Address: 1723 HAMMOND ST
    HERMON, ME
    ZIP 04401
  • Phone: (207) 252-3651

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NPI Details

MY VIRTUAL MEDICAL VISIT is a medical specialty clinic center in Hermon, ME. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). MY VIRTUAL MEDICAL VISIT NPI is 1104570449. The provider is registered as an organization entity type.

The provider's business location address is:

1723 HAMMOND ST
HERMON, ME
ZIP 04401-120
Phone: (207) 252-3651

The provider's authorized official is Lorraine Marie Morin .
The authorized official title is Owner and has the following contact phone number (207) 252-3651.

The CLIA number assigned to this NPI record is 20D2248878 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/7/2022 and was last updated on 2/7/2022.

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
1261QM2500XClinic/CenterMedical SpecialtyYes

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: 11/21/2025

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