Provider Type Icon

MAINEHEALTH NPI 1992065080


NPI Information

NPI: 1992065080
Provider Name: MAINEHEALTH

Doing Business As: MMC CF CLINIC

Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

Address:
22 BRAMHALL ST
PORTLAND, ME
ZIP 04102
Phone: (207) 662-0111
Get Directions

MAINEHEALTH is a pulmonary disease internal medicine in Portland, ME. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. MAINEHEALTH NPI is 1992065080. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mmc Cf Clinic.

The provider's business location address is:

22 BRAMHALL ST
PORTLAND, ME
ZIP 04102
Phone: (207) 662-0111

The provider's authorized official is Lugene Anthony Inzana .
The authorized official title is Associate Cfo and has the following contact phone number (207) 662-3538.

The enumeration date for this NPI number is 5/22/2012 and was last updated on 5/11/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RP1001XInternal MedicinePulmonary DiseaseYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
130212545MEDICAIDNEW 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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.