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General NPI Number Information
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NPI Number | 1568273241
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Entity Type | Organization
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Legal Business Name | MAINEHEALTH
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Dates
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Enumeration Date | 01/14/2025
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Last Update Date | 01/14/2025
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Provider Practice Location Address
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Address Line | 6 GLEN COVE DR
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City | ROCKPORT
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State | ME
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Zip | 04856-4272
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Country | US
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Telephone | 207-301-8000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 360489
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City | PITTSBURGH
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State | PA
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Zip | 15251-6489
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ASSOCIATE CFO
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Name | LUGENE ANTHONY INZANA
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Credential |
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Telephone | 207-661-7183
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 275N00000X
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Taxonomy Name | Medicare Defined Swing Bed Hospital Unit
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License Number |
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License Number State |
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