Organization
MAINEHEALTH
Active
Other names
MaineHealth Pen Bay Hospital, Penobscot Bay Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
LUGENE ANTHONY INZANA (ASSOCIATE CFO)
(207) 662-3538
Entity
Organization
Contact information
Practice address
6 GLEN COVE DR, ROCKPORT, ME 04856-4273
(207) 596-8000
Mailing address
4 WHITE ST, ROCKLAND, ME 04841-2953
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
36280
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104540000
—
ME
05
—
126810000
—
ME
Enumeration date
08/21/2018
Last updated
04/11/2025
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