INTERMED PA NPI 1942388418

NPI Information

INTERMED PA is an ambulatory surgical clinic center in Portland, ME. INTERMED PA NPI is 1942388418. The provider is registered as an organization entity type.
The provider Is Doing Business As Intermed Ambulatory Surgery Center.

The provider's business location address is:

84 MARGINAL WAY
SUITE 1000
PORTLAND, ME
ZIP 04101-443
Phone: (207) 347-2898
Fax: (207) 553-1415

The provider's authorized official is William G Ferentz .
The authorized official title is Chief Financial Officer and has the following contact phone number (207) 523-3648.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 5/23/2022.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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