Organization Active NPI

Lincoln Medical Practice

  • Primary Care Clinic/Center
  • Lewiston, ME
National Provider Identifier
1811419823
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
LINCOLN MEDICAL PRACTICE
Practice address
124 Canal St Ste C
Lewiston, ME 04240-7711
Phone
(207) 344-9899
Fax
(877) 712-8183
NPI assigned
Jul 11, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Jamila Hassan
Title
Co-Owner
Phone
(207) 344-9899

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

124 Canal St Ste C
Lewiston, ME 04240-7711

Mailing address

124 Canal St Ste C
Lewiston, ME 04240-7711
Phone (207) 344-9899

National Provider Directory

National Provider Directory

Locations

124 Canal St
Ste C
Lewiston, ME 04240
Phone (207) 344-9899

NPI Registry JSON

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

{
    "created_epoch": "1499731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1811419823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 CANAL ST STE C",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407711",
            "telephone_number": "207-344-9899",
            "fax_number": "877-712-8183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 CANAL ST STE C",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407711",
            "telephone_number": "207-344-9899",
            "fax_number": "877-712-8183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN MEDICAL PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-11",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HASSAN",
        "authorized_official_first_name": "JAMILA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "207-344-9899"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "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 Jul 21, 2022; 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.