Organization
MAINEHEALTH
Active
Parent organization
MAINEHEALTH
Other names
Maine Medical Partners Pediatric Surgery
Organization subpart
Yes
Provider details
NPI number
Legal business name
MAINEHEALTH
Authorized official
LUGENE ANTHONY INZANA (ASSOCIATE CFO)
(207) 662-3538
Entity
Organization
Contact information
Practice address
887 CONGRESS ST, SUITE 300, PORTLAND, ME 04102
(207) 662-5555
(207) 662-5526
Mailing address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 226-6562
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
—
—
282N00000X
General Acute Care Hospital
37563
ME
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Enumeration date
02/25/2011
Last updated
12/19/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us