Healthcare Provider Details

I. General information

NPI: 1326379942
Provider Name (Legal Business Name): MAINEGENERAL HEALTH ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/21/2010
Last Update Date: 01/21/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 PLEASANT ST
OAKLAND ME
04963-5034
US

IV. Provider business mailing address

9 PLEASANT ST
OAKLAND ME
04963-5034
US

V. Phone/Fax

Practice location:
  • Phone: 207-465-2181
  • Fax: 207-465-4629
Mailing address:
  • Phone: 207-465-2181
  • Fax: 207-465-4629

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: BARBARA A CROWLEY
Title or Position: PRESIDENT, MGHA
Credential: MD
Phone: 207-626-1097