Mainehealth
Organization Active NPI Multi-Specialty Clinic/Center · Biddeford, ME
NPI 1215417019 · NPPES record last updated Dec 19, 2022
Key facts
- NPI
- 1215417019
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Multi-Specialty Clinic/Center 261QM1300X
- Legal business name
- MAINEHEALTH
- Practice address
- 1 Medical Center Dr
Biddeford, ME 04005-9422 - Phone
- (207) 283-7000
- NPI assigned
- Aug 21, 2018
- Organization subpart
- No
Authorized official
- Name
- Lugene Anthony Inzana
- Title
- Senior Vice President Finance & Cfo
- Phone
- (207) 662-3538
Other NPIs on the same Medicare enrollment 38
Practitioners 152
-
Bobak Ahouraie, PA
-
Robert S Ascanio, M.D.
-
Wendelanne Augunas, LCPC
-
Alice Elizabeth Ayoob, LCSW
-
Isaac S Ball, P.A.
-
Mackenzie Mae Barth, AGACNP
-
Sarah Morency Baskind, FNP-BC
-
Christian Basque, M.D.
-
Eric A Beaver, PA-C
-
Timothy Bender, DO
-
Amy Lynne Bergeron, FNP
-
Tammi Bittler, M.D.
-
Keith James Bourgeois, FNP-C
-
Matthew Donald Bush, M.D.
-
Daniel Campos, M.D.
-
Elizabeth Carson, MD
-
Katherine Casale, PSYD
-
Jamal Choudhary, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040701000166 | ME | Part B Supplier - Clinic/Group Practice | 7517860588 |
Receives reassigned benefits from 3,561 practitioners 38 other NPIs on this enrollment This NPI is an additional NPI on the enrollment |
National Provider Directory
Locations
16 Fahy St
Ste 202
Belfast, ME 04915
Phone (207) 505-4603
9 Fahy St
Belfast, ME 04915
Phone (207) 505-3600
24 W Cole Rd
#C
Biddeford, ME 04005
Phone (207) 282-6124
46 Barra Rd
Ste 101
Biddeford, ME 04005
Phone (207) 282-5509
9 Healthcare Dr
Ste 201
Biddeford, ME 04005
Phone (207) 282-9080
26 W Cole Rd
#A
Biddeford, ME 04005
Phone (207) 282-4270
121 Medical Center Dr
Ste 2550
Brunswick, ME 04011
Phone (207) 373-1707
10 Goodall Dr
Ste 500
East Waterboro, ME 04030
Phone (207) 247-6007
72 Main St
Kennebunk, ME 04043
Phone (207) 467-8810
2 Livewell Dr
Ste 200
Kennebunk, ME 04043
Phone (207) 467-8550
2 Livewell Dr
Ste 300
Kennebunk, ME 04043
Phone (207) 467-8500
110 Free St
Portland, ME 04101
Phone (207) 661-1025
13 Industrial Park Rd
Ste 2
Saco, ME 04072
Phone (207) 283-8800
25 June St
Ste 12012
Sanford, ME 04073
92 Campus Dr
#3
Scarborough, ME 04074
248 Main St
Arcade, NY 14009
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Yes | ||
| Urgent Care Clinic/Center | 261QU0200X | |||
| General Acute Care Hospital | 282N00000X | 38170 | ME |
Addresses
Primary practice location
1 Medical Center Dr
Biddeford, ME 04005-9422
Mailing address
PO Box 626
Biddeford, ME 04005-0626
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659392819-001 | Medicaid | ME |
Other names
- SMHC Physician Services
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Cobius Healthcare Solutions |
Other providers in Biddeford, ME
- Maine Dental Group, P.C.
- Maine Geriatrics
- Maine Molecular Imaging LLC
- Maine Periodontics Plllc
- Mainehealth
- Mainehealth
- Mainehealth
- Mainehealth
- Mainehealth
- Vani Mallipeddi
All providers in Biddeford, ME · Multi-Specialty Clinic/Center in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.