Organization
MAINEHEALTH
Active
Other names
SMHC Newton Center
Organization subpart
No
Provider details
NPI number
Authorized official
LUGENE ANTHONY INZANA (SENIOR VICE PRESIDENT FINANCE & CFO)
(207) 662-3538
Entity
Organization
Contact information
Practice address
35 JULY ST, SANFORD, ME 04073-1909
(207) 490-7600
Mailing address
1 MEDICAL CENTER DR, BIDDEFORD, ME 04005-9422
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
2031
ME
314000000X
Skilled Nursing Facility
Primary
2787
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101480200
—
ME
Enumeration date
08/21/2018
Last updated
05/11/2020
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