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Organization
MAINEHEALTH
Active
Organization
MAINEHEALTH
Active
Other names
MaineHealth School Based Health Center, MaineHealth Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
LUGENE ANTHONY INZANA (SENIOR VICE PRESIDENT FINANCE & CFO)
(207) 662-2654
Entity
Organization
Contact information
Practice address
49 HOOPER ST, WISCASSET, ME 04578-4053
(207) 882-7911
Mailing address
PO BOX 745, NEWCASTLE, ME 04553-0745
(207) 563-4146
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
ME
207V00000X
Obstetrics & Gynecology Physician
—
ME
363LF0000X
Family Nurse Practitioner
—
ME
Other
Enumeration date
08/21/2018
Last updated
10/24/2024
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