Healthcare Provider Details
I. General information
NPI: 1023946423
Provider Name (Legal Business Name): MAINEHEALTH
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
235 MAIN ST
BIDDEFORD ME
04005-2411
US
IV. Provider business mailing address
PO BOX 360489
PITTSBURGH PA
15251-6489
US
V. Phone/Fax
- Phone: 207-283-7660
- Fax: 207-294-8696
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 283Q00000X |
| Taxonomy | Psychiatric Hospital |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ROBERT
HUNTER
Title or Position: SENIOR VICE PRESIDENT
Credential:
Phone: 207-662-2272