Organization
MAINE MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD W PETERSON (CEO)
(207) 662-4466
Entity
Organization
Contact information
Practice address
887 CONGRESS ST, SUITE 210, PORTLAND, ME 04102-3100
(207) 774-2381
(207) 774-0459
Mailing address
887 CONGRESS ST, SUITE 210, PORTLAND, ME 04102-3100
(207) 774-2381
(207) 774-0459
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
015141
ME
Other
Enumeration date
01/05/2011
Last updated
01/05/2011
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