Healthcare Provider Details

I. General information

NPI: 1518800382
Provider Name (Legal Business Name): UNIVERSITY OF NEW ENGLAND
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 HILLS BEACH RD
BIDDEFORD ME
04005-9526
US

IV. Provider business mailing address

11 HILLS BEACH RD
BIDDEFORD ME
04005-9599
US

V. Phone/Fax

Practice location:
  • Phone: 207-602-2358
  • Fax:
Mailing address:
  • Phone: 207-602-2787
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QS1000X
TaxonomyStudent Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JIM IRWIN
Title or Position: SR VP FINANCE AND ADMINISTRATION
Credential:
Phone: 207-602-2157