# INTERMED, PA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** INTERMED PA
- **Other names:** InterMed Ambulatory Surgery Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1942388418
- **Legal business name:** INTERMED PA
- **Authorized official:** ROGER POITRAS (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (207) 347-2853

## Contact information

- **Practice address:** 84 MARGINAL WAY, SUITE 1000, PORTLAND, ME 04101-2443
- **Practice address phone:** (207) 347-2898
- **Practice address fax:** (207) 553-1415
- **Mailing address:** 100 GANNETT DRIVE, SUITE C, SOUTH PORTLAND, ME 04106
- **Mailing address phone:** (207) 347-2947
- **Mailing address fax:** (207) 874-2317

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 38444 | ME | Yes |

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 05/12/2026