# ACADIA MEDICAL ARTS AMBULATORY SURGICAL SUITE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407867583
- **Authorized official:** MELANIE SIBLEY (ADMINISTRATOR)
- **Authorized official phone:** (207) 262-6974

## Contact information

- **Practice address:** 73 RIDGEWOOD DRIVE, BANGOR, ME 04401
- **Practice address phone:** (207) 990-0928
- **Practice address fax:** (207) 990-3844
- **Mailing address:** 73 RIDGEWOOD DRIVE, BANGOR, ME 04401
- **Mailing address phone:** (207) 433-7039
- **Mailing address fax:** (207) 990-3844

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 20C0001007 | ME | Yes |

## Other

- **Enumeration date:** 08/11/2006
- **Last updated:** 02/17/2022