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Contact Information

ACADIA FOOT & ANKLE PA
700 MOUNT HOPE AVE STE 620
BANGOR, ME04401-3667
 Phone: 207-947-2220
 Fax: 207-947-4073
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for ACADIA FOOT & ANKLE PA

NPI Number 1326121294
LBN Legal business name ACADIA FOOT & ANKLE PA
Authorized official KEITH KENDALL - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/23/2006
Last updated 04/26/2019 - About 7 years ago
Identifiers
ME License # POD181
ME Medicaid 135400000
Other 2646097 AETNA
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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