National Provider Identifier Database

WESTERN AVENUE DAY SURGERY CENTER
Ambulatory Surgical


Contact Information

WESTERN AVENUE DAY SURGERY CENTER
11 ROCK ROW STE 210
WESTBROOK, ME04092-4877
Phone: 207-775-3446
Fax: 207-879-1646
Website:
Specialty Taxonomy Code
* Ambulatory Surgical 261QA1903X
Medical Specialty 261QM2500X

* Indicates primary specialty

NPI Profile & details for WESTERN AVENUE DAY SURGERY CENTER

NPI Number 1841688942
Legal business name
LBN
WESTERN AVENUE DAY SURGERY CENTER
Authorized official COLETTE DAVIES - (PRACTICE ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 12/26/2014
Last updated 01/26/2026 - About 4 months ago
Sole proprietor1 Not specified
Identifiers
  • ME License #: 38157
  • ME Medicaid: 107150200

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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