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NPI Code Detail

MEDICARE: CENTRAL MAINE MEDICAL CENTER

MEDICARE: CENTRAL MAINE MEDICAL CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1282N00000XGeneral Acute Care Hospital

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1689653487
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENTRAL MAINE MEDICAL CENTER
Provider Business Mailing Address
First Line : 300 MAIN ST
Second Line :
City : LEWISTON
State : ME
Zip : 04240-7027
Country : US
Telephone Number : 207-795-5646
Fax Number : 207-795-7193
Provider Business Practice Location Address
First Line : 300 MAIN ST
Second Line :
City : LEWISTON
State : ME
Zip : 04240-7027
Country : US
Telephone Number : 207-795-5646
Fax Number : 207-795-7193
Authorized Official
Title or Position : REGIONAL MANAGER PHYSICIAN PRACTICE
Name : SUSAN L MORIN
Credential :
Telephone Number : 207-795-5646
Provider Enumeration Date : 01/11/2006
Last Update Date : 02/17/2014

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1073599718 — PATRICIA J GROVE RN
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Directions to “CENTRAL MAINE MEDICAL CENTER ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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