Organization
MAINEHEALTH
Active
Other names
MaineHealth Maine Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT HUNTER (SENIOR VICE PRESIDENT)
(207) 662-2272
Entity
Organization
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102
(207) 662-0111
Mailing address
22 BRAMHALL ST, ATTENTION: CASHIERS OFFICE, PORTLAND, ME 04102-3134
(207) 662-0111
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
282N00000X
General Acute Care Hospital
Primary
36236
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102500000
—
ME
01
—
200009000025
ANTHEM BLUE CROSS PROV #
ME
Enumeration date
05/20/2006
Last updated
03/18/2026
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