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NPI Code Detail

MEDICARE: MAINEHEALTH

MEDICARE: MAINEHEALTH
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
1207V00000XObstetrics & Gynecology Physician
2363A00000XPhysician AssistantPA603ME
3208000000XPediatrics Physician
4207Q00000XFamily Medicine Physician
5363A00000XPhysician AssistantPA289ME
6367A00000XAdvanced Practice Midwife
7261QR1300XRural Health Clinic/Center

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 : 1962573337
Entity Type Code : Organization
Provider Name (Legal Business Name) : MAINEHEALTH
Provider Business Mailing Address
First Line : PO BOX 360489
Second Line :
City : PITTSBURGH
State : PA
Zip : 15251-6489
Country : US
Telephone Number : 207-563-4146
Fax Number : 207-563-4103
Provider Business Practice Location Address
First Line : 126 DEPOT ST
Second Line :
City : WALDOBORO
State : ME
Zip : 04572-5913
Country : US
Telephone Number : 207-832-6394
Fax Number : 207-832-4392
Authorized Official
Title or Position : SENIOR VICE PRESIDENT
Name : ROBERT HUNTER
Credential :
Telephone Number : 207-662-2272
Provider Enumeration Date : 11/10/2006
Last Update Date : 03/31/2026

Similar Medicare Providers

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Practice Location Address:
126 DEPOT ST
WALDOBORO, ME
04572-5913
Practice Phone: 207-832-6394
Practice Fax: 207-536-5162
1639118458 — JAMES EDWARD CHLEBOWSKI MD
Practice Location Address:
126 DEPOT ST
WALDOBORO, ME
04572-5913
Practice Phone: 207-832-6394
Practice Fax: 207-536-5162
1548316508 — DR. JUDITH VICTORIA ALDRICH DO
Practice Location Address:
126 DEPOT ST
WALDOBORO, ME
04572-5913
Practice Phone: 207-832-6394
Practice Fax: 207-536-5162
1346549979 — LISA MICHELLE STOUT DO
Practice Location Address:
126 DEPOT ST
WALDOBORO, ME
04572-5913
Practice Phone: 207-832-6394
Practice Fax: 207-536-5162
1861158933 — FRANCINE VONGPHET OLNEY FNP
Practice Location Address:
126 DEPOT ST
WALDOBORO, ME
04572-5913
Practice Phone: 207-832-6394
Practice Fax: 207-536-5162
1952183550 — BENJAMIN SCHWINK-ZANELLA PA
Practice Location Address:
126 DEPOT ST
WALDOBORO, ME
04572-5913
Practice Phone: 207-832-6394
Practice Fax: 207-536-5162

Directions to “MAINEHEALTH ” Practice Location

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