EASTERN MAINE MEDICAL CENTER NPI 1598755399

NPI Information

NPI: 1598755399
Provider Name: EASTERN MAINE MEDICAL CENTER
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
489 STATE ST
BANGOR, ME
ZIP 04401
Phone: (207) 973-7000
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EASTERN MAINE MEDICAL CENTER is an end-stage renal disease (esrd) treatment clinic center in Bangor, ME. EASTERN MAINE MEDICAL CENTER NPI is 1598755399. The provider is registered as an organization entity type.

The provider's business location address is:

489 STATE ST
BANGOR, ME
ZIP 04401-616
Phone: (207) 973-7000

The provider's authorized official is Marc Edelman .
The authorized official title is Sr. Vp Of Operations and has the following contact phone number (207) 973-8992.

The enumeration date for this NPI number is 10/24/2005 and was last updated on 7/30/2019.

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	282N00000X	General Acute Care Hospital		35999	MAINE	No
2	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment			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	101780000	MEDICAID	MAINE

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: 11/14/2023

NPI Synchronization or Removal

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