# MAINEGENERAL MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MAINEGENERAL HEALTH
- **Other names:** MaineGeneral Primary Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1174858278
- **Legal business name:** MAINEGENERAL HEALTH
- **Authorized official:** TERRANCE BRANN (CFO)
- **Authorized official phone:** (207) 626-1230

## Contact information

- **Practice address:** 35 MEDICAL CENTER PARKWAY, AUGUSTA, ME 04330
- **Practice address phone:** (207) 872-4454
- **Practice address fax:** (207) 872-4467
- **Mailing address:** P.O BOX 860, WATERVILLE, ME 04903
- **Mailing address phone:** (207) 872-4454
- **Mailing address fax:** (207) 872-4467

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 282N00000X | General Acute Care Hospital | 37283 | ME | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 10/07/2009
- **Last updated:** 08/24/2020