MAINEHEALTH NPI 1780788372

NPI Information

  • NPI: 1780788372
  • Provider Name: MAINEHEALTH
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Organization
  • Doing Business As: MAINE TRANSPLANT PROGRAM
  • CLIA Number: 20D2163591
  • Address: 19 WEST ST
    PORTLAND, ME
    ZIP 04102
  • Phone: (207) 662-7180

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NPI Details

MAINEHEALTH is a nephrology internal medicine in Portland, ME. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. MAINEHEALTH NPI is 1780788372. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Maine Transplant Program.

The provider's business location address is:

19 WEST ST
PORTLAND, ME
ZIP 04102
Phone: (207) 662-7180
Fax: (207) 662-7190

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 20D2163591 - hospital with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 9/12/2006 and was last updated on 12/19/2022.

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
1207R00000XInternal MedicineNo
2261Q00000XClinic/CenterNo
3363LA2200XNurse PractitionerAdult HealthNo
4207RN0300XInternal MedicineNephrologyYes

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
1102500201MEDICAIDMAINE
230212545MEDICAIDNEW HAMPSHIRE

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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