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Organization
MASSABESIC REGIONAL MEDICAL CENTER
Active
Organization
MASSABESIC REGIONAL MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GAIL M WALLINGFORD (NURSE/BILLING/INSURANCE PROVIDER)
(207) 247-6131
Entity
Organization
Contact information
Practice address
813 MAIN STREET, WATERBORO, ME 04027
(207) 247-6131
(207) 247-6675
Mailing address
813 MAIN STREET, MASSABESIC REGIONAL MEDICAL CENTER, WATERBORO, ME 04027
(207) 247-6131
(207) 247-6675
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000973
ANTHEM
ME
01
—
097204
AETNA
ME
Enumeration date
10/06/2006
Last updated
08/22/2020
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