Organization
MAINEHEALTH
Active
Other names
MaineHealth School Based Health Center, MaineHealth Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
LUGENE ANTHONY INZANA (SENIOR VICE PRESIDENT FINANCE & CFO)
(207) 662-2654
Entity
Organization
Contact information
Practice address
49 HOOPER ST, WISCASSET, ME 04578-4053
(207) 882-7911
Mailing address
PO BOX 745, NEWCASTLE, ME 04553-0745
(207) 563-4146
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
ME
207V00000X
Obstetrics & Gynecology Physician
—
ME
363LF0000X
Family Nurse Practitioner
—
ME
Other
Enumeration date
08/21/2018
Last updated
10/24/2024
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