Healthcare Provider Details

I. General information

NPI: 1417985524
Provider Name (Legal Business Name): REGIONAL MEDICAL CENTER AT LUBEC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2006
Last Update Date: 03/26/2025
Certification Date: 03/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

43 S LUBEC RD
LUBEC ME
04652-3620
US

IV. Provider business mailing address

43 S LUBEC RD
LUBEC ME
04652-3620
US

V. Phone/Fax

Practice location:
  • Phone: 207-733-7500
  • Fax: 207-733-7555
Mailing address:
  • Phone: 207-733-7500
  • Fax: 207-733-7555

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number2740
License Number StateME

VIII. Authorized Official

Name: TOM MACDONALD
Title or Position: CEO
Credential:
Phone: 207-733-1090