Organization
MAINEHEALTH
Active
Other names
SMHC Physician Services
Organization subpart
No
Provider details
NPI number
Authorized official
LUGENE ANTHONY INZANA (SENIOR VICE PRESIDENT FINANCE & CFO)
(207) 662-3538
Entity
Organization
Contact information
Practice address
1 MEDICAL CENTER DR, BIDDEFORD, ME 04005-9422
(207) 283-7000
Mailing address
PO BOX 626, BIDDEFORD, ME 04005-0626
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
282N00000X
General Acute Care Hospital
38170
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659392819-001
—
ME
Enumeration date
08/21/2018
Last updated
12/19/2022
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