Organization
MAINEHEALTH
Active
Parent organization
MAINEHEALTH
Other names
FCHN Network
Organization subpart
Yes
Provider details
NPI number
Legal business name
MAINEHEALTH
Authorized official
LUGENE ANTHONY INZANA (SVP FINANCE, CFO)
(207) 662-3538
Entity
Organization
Contact information
Practice address
111 FRANKLIN HEALTH CMNS, FARMINGTON, ME 04938-6144
(207) 779-2356
(207) 779-2240
Mailing address
111 FRANKLIN HEALTH COMMONS, FARMINGTON, ME 04938-6144
(207) 779-2048
(207) 779-2784
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
36464
ME
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000018
ANTHEM BLUE CROSS
ME
01
—
003078294
CONNECTICUT MEDICAID
CT
01
—
01633398
NEW YORK MEDICAID
NY
05
—
101790000
—
ME
01
—
1211234
MASSACHUSETTS MEDICAID
MA
01
—
6320200
AETNA
ME
01
—
900209
HARVARD PILGRIM
ME
01
—
99200037
NEW HAMPSHIRE MEDICAID
NH
01
—
M17200
CIGNA
ME
Enumeration date
06/16/2006
Last updated
05/11/2022
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