# ACADIA MEDICAL ARTS PAIN MANAGEMENT LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ACADIA MEDICAL ARTS AMBULATORY SURGERY SUITES
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1063607422
- **Legal business name:** ACADIA MEDICAL ARTS AMBULATORY SURGERY SUITES
- **Authorized official:** MRS. PAULETTE A BLUE RN (ADMINISTRATOR)
- **Authorized official phone:** (207) 990-0928

## Contact information

- **Practice address:** 404 STATE ST STE 300, BANGOR, ME 04401-6623
- **Practice address phone:** (207) 990-0928
- **Practice address fax:** (207) 945-4354
- **Mailing address:** 404 STATE ST STE 200, BANGOR, ME 04401-6652
- **Mailing address phone:** (207) 990-0928
- **Mailing address fax:** (207) 945-4354

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | ME | Yes |

## Other

- **Enumeration date:** 09/10/2007
- **Last updated:** 06/03/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1716688 | AETNA | ME |
| 01 | — | 200363 | BLUE CROSS/BLUE SHIELD | ME |
| 05 | — | 432748500 | — | ME |
| 01 | — | 7937210 | CIGNA | ME |