National Provider Identifier Database

MAINEHEALTH
Critical Access


Contact Information

MAINEHEALTH
118 NORTHPORT AVE
BELFAST, ME04915-6009
Phone: 207-338-2500
Fax:
Website:
Specialty Taxonomy Code
* Critical Access 282NC0060X
Institutional Pharmacy 3336I0012X
Medicare Defined Swing Bed Unit 275N00000X

* Indicates primary specialty

NPI Profile & details for MAINEHEALTH

NPI Number 1265912075
Legal business name
LBN
MAINEHEALTH
Authorized official LUGENE INZANA - (ASSOCIATE CFO)
Entity Organization
Organization subpart No
Enumeration date 08/21/2018
Last updated 10/23/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • ME License #: 36424
  • ME License #: 37023
  • ME License #: 37189
  • ME Medicaid: 101570000
  • ME Medicaid: 101570103
  • Other: 2008058 NCPDP PROVIDER IDENTIFICATION NUMBER

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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