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MAINEHEALTH NPI 1164610242


NPI Information

NPI: 1164610242
Provider Name: MAINEHEALTH

Doing Business As: GERIATRIC CONSULTS

Classification: Internal Medicine - 207RG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
22 BRAMHALL ST
PORTLAND, ME
ZIP 04102
Phone: (207) 662-6353
Get Directions

MAINEHEALTH is a geriatric medicine internal medicine in Portland, ME. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. MAINEHEALTH NPI is 1164610242. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Geriatric Consults.

The provider's business location address is:

22 BRAMHALL ST
PORTLAND, ME
ZIP 04102
Phone: (207) 662-6353

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 enumeration date for this NPI number is 10/15/2007 and was last updated on 4/24/2020.


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
1207QG0300XFamily MedicineGeriatric MedicineNo
2207RG0300XInternal MedicineGeriatric MedicineYes

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
130216948MEDICAIDNEW HAMPSHIRE
2102500205MEDICAIDMAINE

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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