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Contact Information

EASTPORT MEMORIAL HOSPITAL
23 BOYNTON STREET
EASTPORT, ME04628-1304
 Phone: 207-853-2531
 Fax: 207-853-7117
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for EASTPORT MEMORIAL HOSPITAL

NPI Number 1912003328
LBN Legal business name EASTPORT MEMORIAL HOSPITAL
Authorized official JOHN WOOD - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 09/15/2006
Last updated 07/27/2022 - About 4 years ago
Identifiers
ME License # 36544
ME Medicaid 102120000
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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