Organization
MAINEHEALTH
Active
Other names
MaineHealth Franklin Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
LUGENE ANTHONY INZANA (ASSOCIATE CFO)
(207) 662-3538
Entity
Organization
Contact information
Practice address
111 FRANKLIN HEALTH CMNS, FARMINGTON, ME 04938-6144
(207) 779-2356
Mailing address
111 FRANKLIN HEALTH CMNS, FARMINGTON, ME 04938-6144
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
36464
ME
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
08/21/2018
Last updated
10/13/2024
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