Organization
MAINEGENERAL MEDICAL CENTER
Active
Parent organization
MAINEGENERAL HEALTH
Other names
MaineGeneral Primary Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
MAINEGENERAL HEALTH
Authorized official
TERRANCE BRANN (CFO)
(207) 626-1230
Entity
Organization
Contact information
Practice address
35 MEDICAL CENTER PARKWAY, AUGUSTA, ME 04330
(207) 872-4454
(207) 872-4467
Mailing address
P.O BOX 860, WATERVILLE, ME 04903
(207) 872-4454
(207) 872-4467
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
2084P0800X
Psychiatry Physician
—
—
282N00000X
General Acute Care Hospital
Primary
37283
ME
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174858278
—
ME
05
—
432678105
—
ME
Enumeration date
10/07/2009
Last updated
08/24/2020
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