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NPI Code Detail

MEDICARE: MAINEGENERAL HEALTH ASSOCIATES

MEDICARE: MAINEGENERAL HEALTH ASSOCIATES
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
1363L00000XNurse Practitioner
2363A00000XPhysician Assistant
3207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1215992284
Entity Type Code : Organization
Provider Name (Legal Business Name) : MAINEGENERAL HEALTH ASSOCIATES
Provider Business Mailing Address
First Line : 150 DRESDEN AVE
Second Line :
City : GARDINER
State : ME
Zip : 04345-2615
Country : US
Telephone Number : 207-621-9337
Fax Number : 207-621-3609
Provider Business Practice Location Address
First Line : 152 DRESDEN AVE
Second Line :
City : GARDINER
State : ME
Zip : 04345-2615
Country : US
Telephone Number : 207-582-6608
Fax Number : 207-582-2258
Authorized Official
Title or Position : PRESIDENT, MGHA
Name : BARBARA A CROWLEY
Credential : MD
Telephone Number : 207-626-1063
Provider Enumeration Date : 04/20/2006
Last Update Date : 10/04/2007

Similar Medicare Providers

1740280916 — JOHN P KOOTZ M.D
Practice Location Address:
152 DRESDEN AVE
GARDINER, ME
04345-2615
Practice Phone: 207-582-6608
Practice Fax: 207-582-2258
1710953591 — MARGARET A PARSONS MD
Practice Location Address:
152 DRESDEN AVE
GARDINER, ME
04345-2615
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1659337905 — MAINEGENERAL HEALTH ASSOCIATES
Practice Location Address:
150 DRESDEN AVE
GARDINER, ME
04345-2615
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Practice Fax:
1144333428 — CHRISTOPHER M EDWARDS DO
Practice Location Address:
152 DRESDEN AVE
GARDINER, ME
04345-2615
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1366592461 — MAINE GENERAL HEALTH REHABILITATION & LONG TERM CARE
Practice Location Address:
154 DRESDEN AVE
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1275777880 — MAINE GENERAL HEALTH REHABILITATION & LONG TERM CARE
Practice Location Address:
154 DRESDEN AVE
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04345-2615
Practice Phone: 207-626-1770
Practice Fax: 207-626-1814

Directions to “MAINEGENERAL HEALTH ASSOCIATES ” Practice Location

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