Active NPI
Mainehealth
Doing business as Coastal Medical Care
- Dental Clinic/Center
- Belfast, ME
National Provider Identifier
1851869648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- MAINEHEALTH
- Doing business as
- Coastal Medical Care
- Practice address
- 125 Northport Ave Ste 107
Belfast, ME 04915-6002 - Phone
- (207) 338-3368
- Fax
- (207) 338-6207
- NPI assigned
- Nov 9, 2018
- Last updated
- Apr 30, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lugene Anthony Inzana
- Title
- Senior Vice President & Cfo
- Phone
- (207) 662-3538
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | NU | Primary |
Addresses
Primary practice location
125 Northport Ave Ste 107
Belfast, ME 04915-6002
Mailing address
118 Northport Ave
Belfast, ME 04915-6009
Phone (207) 338-3368
Other names 1
- Coastal Medical Care
National Provider Directory
National Provider Directory- Tax ID family
- Maine Medical Assoc
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
dba MaineHealth Orthopedics and Sports Medicine
- General Acute Care Hospital
- Brunswick, ME
- NPI 1740109313
-
dba MaineHealth Pharmacy Maine Medical Center Portland
- Community/Retail Pharmacy
- Portland, ME
- NPI 1740685072
-
dba MaineHealth Cardiac and Pulmonary Rehab
- General Acute Care Hospital
- Brunswick, ME
- NPI 1760301303
-
dba MaineHealth Primary Care Walk-in Care
- General Acute Care Hospital
- Rockland, ME
- NPI 1780512517
-
dba MaineHealth Livermore Falls Health Center
- Rural Health Clinic/Center
- Livermore Falls, ME
- NPI 1811451081
-
dba MMC Vocational Services
- Developmentally Disabled Services Day Training Agency
- Portland, ME
- NPI 1831418128
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541721600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1556582400000",
"number": "1851869648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 NORTHPORT AVE",
"city": "BELFAST",
"state": "ME",
"postal_code": "049156009",
"telephone_number": "207-338-3368",
"fax_number": "207-338-6207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 NORTHPORT AVE STE 107",
"city": "BELFAST",
"state": "ME",
"postal_code": "049156002",
"telephone_number": "207-338-3368",
"fax_number": "207-338-6207"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAINEHEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2018-11-09",
"last_updated": "2019-04-30",
"status": "A",
"authorized_official_last_name": "INZANA",
"authorized_official_first_name": "LUGENE",
"authorized_official_middle_name": "ANTHONY",
"authorized_official_title_or_position": "SENIOR VICE PRESIDENT & CFO",
"authorized_official_telephone_number": "207-662-3538"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Coastal Medical Care",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Coastal Medical Care",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Belfast, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.