NPI Code Detail JSON Logo

1477344976 NPI number — MAINEGENERAL MEDICAL CENTER

NPI Number: 1477344976
Health Care Provider/Practitioner: MAINEGENERAL MEDICAL CENTER

Information about “1477344976” NPI (MAINEGENERAL MEDICAL CENTER) exists in 1477344976 in HTML format HTML  |  1477344976 in plain Text format TXT  |  1477344976 in PDF (Portable Document Format) PDF  |  1477344976 in an XML format XML  formats.

NPI Number : 1477344976 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1477344976",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "MAINEGENERAL MEDICAL CENTER",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1620 W NORTHWEST HWY STE 100",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GRAPEVINE",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "76051-3219",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "817-913-7247",
    "MailingAddressFaxNumber": "817-720-1039",
    "FirstLinePracticeLocationAddress": "149 NORTH ST STE 3",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WATERVILLE",
    "PracticeLocationAddressStateName": "ME",
    "PracticeLocationAddressPostalCode": "04901-4974",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "207-626-1000",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/14/2025",
    "LastUpdateDate": "05/14/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BRANN",
    "AuthorizedOfficialFirstName": "TERRANCE",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CFO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "207-626-1230",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "3336S0011X",
          "TaxonomyName": "Specialty Pharmacy",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "3336C0003X",
          "TaxonomyName": "Community/Retail Pharmacy",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.