Organization
MAINEHEALTH
Active
Other names
Mid Coast Hospital, MaineHealth Mid Coast Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
LUGENE ANTHONY INZANA (MH ASSOCIATE CFO)
(207) 662-2654
Entity
Organization
Contact information
Practice address
123 MEDICAL CENTER DR, BRUNSWICK, ME 04011-2652
(207) 729-0181
(207) 373-6080
Mailing address
123 MEDICAL CENTER DR, BRUNSWICK, ME 04011-2652
(207) 373-4555
(207) 373-6080
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0062661
AETNA
ME
05
—
102140000
—
ME
01
—
2000006
ANTHEM BLUE CROSS
ME
01
—
901805
HARVARD PILGRIM
ME
Enumeration date
04/17/2006
Last updated
10/13/2024
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