Spectrum Healthcare Partners, P.a.

Organization Active NPI Diagnostic Radiology Physician · Bangor, ME

NPI 1366840340 · NPPES record last updated Mar 14, 2018

Key facts

NPI
1366840340
Entity type
Organization (NPI type 2)
Primary specialty
Diagnostic Radiology Physician 2085R0202X
Legal business name
SPECTRUM HEALTHCARE PARTNERS, P.A.
Practice address
489 State St
Bangor, ME 04401-6616
Phone
(207) 482-7800
NPI assigned
Dec 8, 2014
Organization subpart
Yes
Parent organization (as reported)
SPECTRUM HEALTHCARE PARTNERS, P.A.

Authorized official

Name
David Landry
Title
Chief Executive Officer
Phone
(207) 482-7800

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Corporate family (same tax ID) 5

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Spectrum Healthcare Partners PA (6 organizations share this tax ID)
Part of
Spectrum Healthcare Partners PA

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
2085R0202X Yes

Addresses

Primary practice location

489 State St
Bangor, ME 04401-6616

Mailing address

482 Congress St
Portland, ME 04101-3409

Other names

  • Spectrum Medical Group,P.A. Former legal business name

Other providers in Bangor, ME

All providers in Bangor, ME · Diagnostic Radiology Physician in Maine

Sources for this page

Verify at the official NPI Registry.