MAINEHEALTH NPI 1225232606

NPI Information

MAINEHEALTH 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. MAINEHEALTH NPI is 1225232606. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Mmc Family Practice Residency Program.

The provider's business location address is:

272 CONGRESS ST
PORTLAND, ME
ZIP 04102
Phone: (207) 874-2466
Fax: (207) 774-4625

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 20D2275741 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/12/2007 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:

Other Identifiers

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