Organization
MAINEHEALTH
Active
Other names
Maine Hemophilia and Thrombosis Center
Organization subpart
No
Provider details
NPI number
Authorized official
LUGENE ANTHONY INZANA (ASSOCIATE CFO)
(207) 662-3538
Entity
Organization
Contact information
Practice address
100 CAMPUS DR, UNIT 103, SCARBOROUGH, ME 04074-7171
(207) 885-7683
Mailing address
22 BRAMHALL ST, FINANCE DEPARTMENT MGB 1ST FLOOR, PORTLAND, ME 04102-3134
(207) 662-3998
(207) 662-6234
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
37025
ME
282N00000X
General Acute Care Hospital
Primary
37563
ME
Other
Enumeration date
10/27/2009
Last updated
05/11/2020
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