Black Bear Medical, Inc.

LBN: Black Bear Medical, Inc.
Black Bear Medical, Inc. is an health care organization with primary practice located at 275 Marginal Way , Portland ME 04101-2542. The organization recently has only one registered license in Suppliers / Customized Equipment, which is considered as the primary health care specialty. Black Bear Medical, Inc. can be contacted via phone (207) 871-0008, or through Crawford, Gregory via phone (859) 441-8876.

Contact Information

Primary practice address
275 Marginal Way Portland ME 04101-2542
Phone: (207) 871-0008
Fax: (207) 871-0590
Website:
Map and Directions
Authorized official contact:
Name: Crawford, Gregory
Phone: (859) 441-8876

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Customized Equipment 332BC3200X 1019767 Maine

Profile Details

NPI number 1538165642
LBN Legal business name Black Bear Medical, Inc.
DBA Doing business as
Authorized official Crawford, Gregory
Entity Organization
Organization subpart 1 No
Enumeration date Jun 23rd, 2005
Last updated Dec 16th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538165642 NPPES
Maine MEDICAID 131150000
Maine MEDICAID 128710000

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