Organization
MAINEGENERAL MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRANCE BRANN (CFO)
(207) 626-1230
Entity
Organization
Contact information
Practice address
35 MEDICAL CENTER PARKWAY, AUGUSTA, ME 04330
(207) 873-9841
Mailing address
P.O BOX 860, WATERVILLE, ME 04903
(207) 872-4454
(207) 872-4467
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
1817
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154420000
—
ME
Enumeration date
06/30/2006
Last updated
08/26/2020
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