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Contact Information

MAINEHEALTH
272 CONGRESS ST
PORTLAND, ME04102
 Phone: 207-874-2466
 Fax: 207-774-4625
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Family

363LF0000X 50 Nurse Practitioner
 

Women's Health

363LW0102X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MAINEHEALTH

NPI # 1225232606
LBN Legal business name MAINEHEALTH
Authorized official LUGENE INZANA - (SVP FINANCE/CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 06/12/2007
Last updated 04/24/2020 - About 6 years ago
Identifiers
NH Medicaid 30216370
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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