FORE RIVER FAMILY MEDICINE PA NPI 1144420332

NPI Information

NPI: 1144420332
Provider Name: FORE RIVER FAMILY MEDICINE, PA
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
51 SEWALL ST
PORTLAND, ME
ZIP 04102
Phone: (207) 772-8823
Get Directions

FORE RIVER FAMILY MEDICINE, PA is a family medicine in Portland, 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. FORE RIVER FAMILY MEDICINE, PA NPI is 1144420332. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

51 SEWALL ST
PORTLAND, ME
ZIP 04102-643
Phone: (207) 772-8823
Fax: (207) 772-1856

The provider's authorized official is Catherine Crute .
The authorized official title is President/ Owner and has the following contact phone number (207) 772-8823.

The enumeration date for this NPI number is 7/25/2007 and was last updated on 4/20/2008.

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	207Q00000X	Family Medicine		012111	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	8892325	OTHER	MAINE	CIGNA
2	=========	OTHER	MAINE	GREAT WEST
3	099071	OTHER	MAINE	ANTHEM
4	B86348	OTHER	MAINE	HARVARD PILGRIM
5	2449295	OTHER	MAINE	AETNA

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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