Organization Active NPI

Lewiston Primary Care Clinic

  • Health Maintenance Organization
  • Lewiston, ME
National Provider Identifier
1386946804
Registry record updated Jan 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
LEWISTON PRIMARY CARE CLINIC
Practice address
280 Lisbon St
Lewiston, ME 04240-7304
Phone
(207) 344-9899
NPI assigned
Dec 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2011

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

Authorized official

Name
Abdihakim S Abdi
Title
Sole MBR
Phone
(207) 344-9899

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

280 Lisbon St
Lewiston, ME 04240-7304

Mailing address

PO Box 7972
Lewiston, ME 04243-7972
Phone (207) 344-9899

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1291420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295481600000",
    "number": "1386946804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7972",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042437972",
            "telephone_number": "207-344-9899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 LISBON ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407304",
            "telephone_number": "207-344-9899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWISTON PRIMARY CARE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-04",
        "last_updated": "2011-01-20",
        "status": "A",
        "authorized_official_last_name": "ABDI",
        "authorized_official_first_name": "ABDIHAKIM",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "207-344-9899"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 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.