# MAINEHEALTH

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Maine Hemophilia and Thrombosis Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053647024
- **Authorized official:** LUGENE ANTHONY INZANA (ASSOCIATE CFO)
- **Authorized official phone:** (207) 662-3538

## Contact information

- **Practice address:** 100 CAMPUS DR, UNIT 103, SCARBOROUGH, ME 04074-7171
- **Practice address phone:** (207) 885-7683
- **Mailing address:** 22 BRAMHALL ST, FINANCE DEPARTMENT MGB 1ST FLOOR, PORTLAND, ME 04102-3134
- **Mailing address phone:** (207) 662-3998
- **Mailing address fax:** (207) 662-6234

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 37025 | ME | — |
| 282N00000X | General Acute Care Hospital | 37563 | ME | Yes |

## Other

- **Enumeration date:** 10/27/2009
- **Last updated:** 05/11/2020