# MAINEHEALTH

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MMC Family Practice
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346267879
- **Authorized official:** LUGENE ANTHONY INZANA (ASSOCIATE CFO)
- **Authorized official phone:** (207) 662-3538

## Contact information

- **Practice address:** 272 CONGRESS ST, PORTLAND, ME 04101
- **Practice address phone:** (207) 761-0650
- **Mailing address:** 39 WALLACE AVE, MAINE MEDICAL PARTNERS, SOUTH PORTLAND, ME 04106-6143
- **Mailing address phone:** (207) 761-0650

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 36236 | ME | Yes |

## Other

- **Enumeration date:** 07/17/2006
- **Last updated:** 12/19/2022