SEAPORT FAMILY PRACTICE; NPI #1780807446

Contact Information

SEAPORT FAMILY PRACTICE

41 WIGHT ST
BELFAST, ME 04915-6054

Phone: 207-338-6900
Fax: 207-338-4976
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rural Health	261QR1300X	B4[14]	Rural Health Clinic

Indicates primary specialty

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NPI Profile & details for SEAPORT FAMILY PRACTICE

NPI # 1780807446

LBN Legal business name SEAPORT FAMILY PRACTICE

Authorized official KAREN STEARNS - (OFFICE MANAGER)

Entity Organization

Organization subpart ¹ No

Enumeration date 04/11/2007

Last updated 06/29/2011 - About 15 years ago

Identifiers

Medicaid

117690100

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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