# MAINEHEALTH

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Mid Coast Medical Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902422561
- **Authorized official:** LUGENE INZANA (CFO & MH ASSOCIATE CFO)
- **Authorized official phone:** (207) 662-2654

## Contact information

- **Practice address:** 123 MEDICAL CENTER DR, BRUNSWICK, ME 04011-2652
- **Practice address phone:** (207) 729-0181
- **Mailing address:** 123 MEDICAL CENTER DR, BRUNSWICK, ME 04011-2652
- **Mailing address phone:** (207) 729-0181

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/19/2020
- **Last updated:** 12/19/2022