MAINEHEALTH NPI 1881709202

NPI Information

NPI: 1881709202
Provider Name: MAINEHEALTH
Classification: Clinic/Center - 261QR1300X
Specialization: Rural Health
Entity Type: Organization
Doing Business As: MAINEHEALTH JOHN F ANDREWS HEALTH CENTER
Address: 19 SAINT ANDREWS LN
BOOTHBAY HARBOR, ME
ZIP 04538
Phone: (207) 633-7820

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NPI Details

MAINEHEALTH is a rural health clinic center in Boothbay Harbor, ME. MAINEHEALTH NPI is 1881709202. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mainehealth John F Andrews Health Center.

The provider's business location address is:

19 SAINT ANDREWS LN
BOOTHBAY HARBOR, ME
ZIP 04538-732
Phone: (207) 633-7820
Fax: (207) 633-7082

The provider's authorized official is Lugene Anthony Inzana .
The authorized official title is Associate Cfo, Mainehealth and has the following contact phone number (207) 662-2654.

The enumeration date for this NPI number is 8/19/2006 and was last updated on 10/13/2024.

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	Primary
1	1041C0700X	Social Worker	Clinical	No
2	207Q00000X	Family Medicine		No
3	207R00000X	Internal Medicine		No
4	207V00000X	Obstetrics & Gynecology		No
5	208000000X	Pediatrics		No
6	261QR1300X	Clinic/Center	Rural Health	Yes
7	363A00000X	Physician Assistant		No
8	363LF0000X	Nurse Practitioner	Family	No
9	367A00000X	Advanced Practice Midwife		No

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	1881709202-002	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: 11/21/2025

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