Healthcare Provider Details

I. General information

NPI: 1386885770
Provider Name (Legal Business Name): AMERICAN CURRENT CARE P.A .
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2009
Last Update Date: 04/21/2022
Certification Date: 04/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34 GILMAN RD
BANGOR ME
04401-3516
US

IV. Provider business mailing address

1600 CONGRESS ST
PORTLAND ME
04102-2124
US

V. Phone/Fax

Practice location:
  • Phone: 207-941-8300
  • Fax:
Mailing address:
  • Phone: 207-774-7751
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License NumberAP091008
License Number StateME

VIII. Authorized Official

Name: ROBERT G HASSETT
Title or Position: VP
Credential:
Phone: 972-364-8000