ACADIA MEDICAL ARTS AMBULATORY SURGICAL SUITE; NPI #1407867583

Contact Information

ACADIA MEDICAL ARTS AMBULATORY SURGICAL SUITE

73 RIDGEWOOD DRIVE
BANGOR, ME 04401

Phone: 207-990-0928
Fax: 207-990-3844
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulatory Surgical	261QA1903X	49	Ambulatory Surgical Center

Indicates primary specialty

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NPI Profile & details for ACADIA MEDICAL ARTS AMBULATORY SURGICAL SUITE

NPI Number 1407867583

LBN Legal business name ACADIA MEDICAL ARTS AMBULATORY SURGICAL SUITE

Authorized official MELANIE SIBLEY - (ADMINISTRATOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/11/2006

Last updated 02/17/2022 - About 4 years ago

Identifiers

ME	License #	20C0001007
ME	Medicaid	121350000
ME	Other	5444660	AETNA
ME	Other	201007001007	BLUE CROSS/BLUE SHIELD
ME	Other	902425	HARVARD PILGRIM
ME	Other	490001551	RR MEDICARE PIN
ME	Other	100342300	US DEPT OF LABOR

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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