CONVENIENTMD LLC NPI 1851991251

NPI Information

  • NPI: 1851991251
  • Provider Name: CONVENIENTMD LLC
  • Classification: Clinic/Center - 261QU0200X
  • Specialization: Urgent Care
  • Entity Type: Organization
  • CLIA Number: 20D2204754
  • Address: 235 HIGH ST
    ELLSWORTH, ME
    ZIP 04605
  • Phone: (207) 412-5200

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NPI Details

CONVENIENTMD LLC is an urgent care clinic center in Ellsworth, ME. CONVENIENTMD LLC NPI is 1851991251. The provider is registered as an organization entity type.

The provider's business location address is:

235 HIGH ST
ELLSWORTH, ME
ZIP 04605-715
Phone: (207) 412-5200

The provider's authorized official is Jarod Boissonneault .
The authorized official title is Director Of Revenue Cycle Mgt and has the following contact phone number (603) 319-6223.

The CLIA number assigned to this NPI record is 20D2204754 - other - urgent care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/27/2020 and was last updated on 10/27/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QU0200XClinic/CenterUrgent CareYes

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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