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NPI Code Detail

MEDICARE: MARTINS POINT HEALTH CARE INC

MEDICARE: MARTINS POINT HEALTH CARE INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336C0002XClinic PharmacyPH50001370ME

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12037452OTHERPK
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134189186
Entity Type Code : Organization
Provider Name (Legal Business Name) : MARTINS POINT HEALTH CARE INC
Provider Business Mailing Address
First Line : 331 VERANDA ST
Second Line :
City : PORTLAND
State : ME
Zip : 04103-5545
Country : US
Telephone Number : 207-774-5801
Fax Number : 207-828-2495
Provider Business Practice Location Address
First Line : 901 WASHINGTON AVE
Second Line :
City : PORTLAND
State : ME
Zip : 04103-2737
Country : US
Telephone Number : 207-774-5801
Fax Number : 207-828-2483
Authorized Official
Title or Position : PHARMACY MANAGER
Name : ROBERT FALK
Credential :
Telephone Number : 207-791-3746
Provider Enumeration Date : 03/24/2006
Last Update Date : 04/17/2013

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Directions to “MARTINS POINT HEALTH CARE INC ” Practice Location

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