Organization
MAINEHEALTH
Active
Parent organization
MAINEHEALTH
Other names
Maine Medical Partners Lakes Region Primary Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
MAINEHEALTH
Authorized official
LUGENE ANTHONY INZANA (SVP FINANCE/CFO)
(207) 662-3538
Entity
Organization
Contact information
Practice address
584 ROOSEVELT TRL, WINDHAM, ME 04062
(207) 892-3233
(207) 893-0752
Mailing address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-6562
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
282N00000X
General Acute Care Hospital
37563
ME
363A00000X
Physician Assistant
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Enumeration date
07/26/2010
Last updated
12/19/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us