City Of Portland Maine

LBN: City Of Portland Maine
City Of Portland Maine is an health care organization with primary practice located at 166 Brackett St , Portland ME 04102-3825. The organization recently has only one registered license in Ambulatory Health Care Facilities / Public Health, State or Local, which is considered as the primary health care specialty. City Of Portland Maine can be contacted via phone (207) 874-8786, or through Jennings, Jon P via phone (207) 874-8689.

Contact Information

Primary practice address
166 Brackett St Portland ME 04102-3825
Phone: (207) 874-8786
Fax: (208) 874-8447
Website:
Map and Directions
Authorized official contact:
Name: Jennings, Jon P
Phone: (207) 874-8689

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Public Health, State or Local 261QP0905X

Profile Details

NPI number 1487896080
LBN Legal business name City Of Portland Maine
DBA Doing business as
Authorized official Jennings, Jon P
Entity Organization
Organization subpart 1 No
Enumeration date Mar 27th, 2009
Last updated Oct 6th, 2015 - about 10 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 1487896080 NPPES
Maine MEDICAID 136040603

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