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Contact Information

SOUTHERN MAINE GERIATRICS ASSOCIATES LLC
50 MARQUIS RD
FREEPORT, ME04032-6477
 Phone: 207-865-6131
 Fax: 207-865-9399
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207RG0300X 11 Physician/Internal Medicine
 

Acute Care

363LA2100X 50 Nurse Practitioner
 

Adult Health

363LA2200X 50 Nurse Practitioner
 

Family

363LF0000X 50 Nurse Practitioner
 

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for SOUTHERN MAINE GERIATRICS ASSOCIATES LLC

NPI Number 1366553091
LBN Legal business name SOUTHERN MAINE GERIATRICS ASSOCIATES LLC
Authorized official MICHAEL BITHER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/31/2006
Last updated 09/12/2013 - About 13 years ago
Identifiers
ME Medicaid 134840000
NH Medicaid 30214096
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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