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Organization

ACADIA MEDICAL ARTS AMBULATORY SURGICAL SUITE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MELANIE SIBLEY (ADMINISTRATOR)
(207) 262-6974
Entity
Organization

Contact information

Practice address
73 RIDGEWOOD DRIVE, BANGOR, ME 04401
(207) 990-0928
(207) 990-3844
Mailing address
73 RIDGEWOOD DRIVE, BANGOR, ME 04401
(207) 433-7039
(207) 990-3844

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
20C0001007
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
100342300
US DEPT OF LABOR
ME
05
121350000
ME
01
201007001007
BLUE CROSS/BLUE SHIELD
ME
01
490001551
RR MEDICARE PIN
ME
01
5444660
AETNA
ME
01
902425
HARVARD PILGRIM
ME
Enumeration date
08/11/2006
Last updated
02/17/2022
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