Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Critical Access |
282NC0060X | A0[7] | Critical Access Hospital | |
Institutional Pharmacy |
3336I0012X | 58 | Medical Supply Company with Pharmacist | |
Medicare Defined Swing Bed Unit |
275N00000X | A0[7] | Hospital-Swing Bed Approved |
| NPI # | 1265912075 |
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| LBN Legal business name | MAINEHEALTH | ||||||||||||||||||||||||
| Authorized official | LUGENE INZANA - (ASSOCIATE CFO) | ||||||||||||||||||||||||
| Entity | Organization | ||||||||||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||||||||||
| Enumeration date | 08/21/2018 | ||||||||||||||||||||||||
| Last updated | 10/23/2024 - More than a year ago | ||||||||||||||||||||||||
| Identifiers |
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