# 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
- **Parent organization:** MAINEHEALTH
- **Other names:** MMC CF Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1992065080
- **Legal business name:** MAINEHEALTH
- **Authorized official:** LUGENE ANTHONY INZANA (ASSOCIATE CFO)
- **Authorized official phone:** (207) 662-3538

## Contact information

- **Practice address:** 22 BRAMHALL ST, PORTLAND, ME 04102
- **Practice address phone:** (207) 662-0111
- **Mailing address:** 301C US ROUTE 1, SCARBOROUGH, ME 04074-9701
- **Mailing address phone:** (207) 396-8600
- **Mailing address fax:** (207) 396-8632

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RP1001X | Pulmonary Disease Physician | — | NULL | Yes |
| 207RP1001X | Pulmonary Disease Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/22/2012
- **Last updated:** 05/11/2020