Organization
MAINEHEALTH
Active
Parent organization
MAINEHEALTH
Other names
Angel Ambulance
Organization subpart
Yes
Provider details
NPI number
Legal business name
MAINEHEALTH
Authorized official
LUGENE ANTHONY INZANA (ASSOCIATE CFO, MAINEHEALTH)
(207) 662-3538
Entity
Organization
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-0111
Mailing address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-0111
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
1050
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102500000
—
ME
01
—
200009000025
ANTHEM BLUE CROSS PROVIDER #
ME
Enumeration date
07/12/2018
Last updated
05/11/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us