# MAINEHEALTH

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SMHC Physician Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215417019
- **Authorized official:** LUGENE ANTHONY INZANA (SENIOR VICE PRESIDENT FINANCE & CFO)
- **Authorized official phone:** (207) 662-3538

## Contact information

- **Practice address:** 1 MEDICAL CENTER DR, BIDDEFORD, ME 04005-9422
- **Practice address phone:** (207) 283-7000
- **Mailing address:** PO BOX 626, BIDDEFORD, ME 04005-0626

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | — |
| 282N00000X | General Acute Care Hospital | 38170 | ME | — |

## Other

- **Enumeration date:** 08/21/2018
- **Last updated:** 12/19/2022