Organization
MAINEHEALTH
Active
Parent organization
MAINEHEALTH
Other names
MaineHealth Maine Medical Center, MaineHealth Behavioral Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
MAINEHEALTH
Authorized official
LUGENE ANTHONY INZANA (CHIEF FINANCIAL OFFICER)
(207) 661-1346
Entity
Organization
Contact information
Practice address
216 VAUGHAN ST, PORTLAND, ME 04102
(207) 842-6531
(207) 842-7773
Mailing address
123 ANDOVER RD, WESTBROOK, ME 04092-3848
(207) 842-6531
(207) 842-7773
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
36236
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102500000
—
ME
01
—
200009000025
ANTHEM BLUE CROSS
ME
Enumeration date
07/05/2006
Last updated
05/14/2025
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