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Contact Information

SPECTRUM HEALTHCARE PARTNERS, PA
22 BRAMHALL ST
PORTLAND, ME04102-3134
 Phone: 207-662-2571
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
 

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
Indicates primary specialty

NPI Profile & details for SPECTRUM HEALTHCARE PARTNERS, PA

NPI # 1669488011
LBN Legal business name SPECTRUM HEALTHCARE PARTNERS, PA
Authorized official DANIEL MCCORMACK - (CEO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 07/31/2006
Last updated 05/14/2026 - About a month ago
Identifiers
ME Medicaid 1669488011
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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