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Contact Information

ACADIA MEDICAL ARTS PAIN MANAGEMENT LLC
404 STATE ST STE 300
BANGOR, ME04401-6623
 Phone: 207-990-0928
 Fax: 207-945-4354
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for ACADIA MEDICAL ARTS PAIN MANAGEMENT LLC

NPI # 1063607422
LBN Legal business name ACADIA MEDICAL ARTS PAIN MANAGEMENT LLC
Authorized official PAULETTE BLUE - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 09/10/2007
Last updated 06/03/2011 - About 15 years ago
Identifiers
ME Medicaid 432748500
ME Other 1716688 AETNA
ME Other 200363 BLUE CROSS/BLUE SHIELD
ME Other 7937210 CIGNA
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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