Organization
MAINEHEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUGENE ANTHONY INZANA (CHIEF FINANCIAL OFFICER)
(207) 662-3538
Entity
Organization
Contact information
Practice address
22 BRAMHALL ST, P2A ROOM 2227, PORTLAND, ME 04102-3134
(207) 662-4618
(207) 662-6254
Mailing address
22 BRAMHALL ST P2A ROOM 2227, PORTLAND, ME 04102-3134
(207) 662-4618
(207) 662-6254
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
PA1679
ME
282NC0060X
Critical Access Hospital
Primary
PA1679
ME
Other
Enumeration date
03/06/2017
Last updated
05/11/2020
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