Inland Family Practice Associates,LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

INLAND FAMILY PRACTICE ASSOCIATES,LLC

Practice address

80 Waterville Commons Dr
Waterville, ME 04901-4900

Phone

(207) 680-2110

Fax

(207) 680-2114

NPI assigned

Jul 14, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Dean Bither

Title

V.P. Finance

Phone

(207) 861-3000

Specialties & licenses 1

Addresses

Other names 1

• THE CLINIC AT WALMART Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1279065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319068800000",
    "number": "1275845604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 KENNEDY MEMORIAL DR",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049014526",
            "telephone_number": "800-395-0232",
            "fax_number": "207-873-2385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 WATERVILLE COMMONS DR",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049014900",
            "telephone_number": "207-680-2110",
            "fax_number": "207-680-2114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INLAND FAMILY PRACTICE ASSOCIATES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-14",
        "last_updated": "2011-10-20",
        "status": "A",
        "authorized_official_last_name": "BITHER",
        "authorized_official_first_name": "DEAN",
        "authorized_official_title_or_position": "V.P. FINANCE",
        "authorized_official_telephone_number": "207-861-3000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE CLINIC AT WALMART",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jerald E Hurdle, D.O.
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• All providers in Waterville, ME
• Health Service Clinic/Center in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.