MEDICARE: MAINEHEALTH NEW HAMPSHIRE AMBULATORY CARE

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
1	3416L0300X	Land Ambulance
2	341600000X	Ambulance

General Provider Information

NPI Number	:	1932902723
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAINEHEALTH NEW HAMPSHIRE AMBULATORY CARE

Provider Business Mailing Address
First Line	:	24 WASHINGTON AVE
Second Line	:
City	:	SCARBOROUGH
State	:	ME
Zip	:	04074-8311
Country	:	US
Telephone Number	:	207-799-2400
Fax Number	:

Provider Business Practice Location Address
First Line	:	16 SEAVEY ST
Second Line	:	16 SEAVEY ST
City	:	NORTH CONWAY
State	:	NH
Zip	:	03860
Country	:	US
Telephone Number	:	207-779-2400
Fax Number	:

Authorized Official
Title or Position	:	SENIOR VICE PRESIDENT
Name	:	ROBERT HUNTER
Credential	:
Telephone Number	:	207-662-2272

Provider Enumeration Date	:	03/28/2025
Last Update Date	:	01/28/2026

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