Intermed Ambulatory Surgery Center

LBN: Intermed Pa
Intermed Ambulatory Surgery Center is an health care organization with primary practice located at 84 Marginal Way Suite 1000, Portland ME 04101-2443. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Intermed Pa can be contacted via phone (207) 347-2898, or through Ferentz, William G via phone (207) 523-3648.

Contact Information

Primary practice address
84 Marginal Way Suite 1000 Portland ME 04101-2443
Phone: (207) 347-2898
Fax: (207) 553-1415
Website:
Map and Directions
Authorized official contact:
Name: Ferentz, William G
Phone: (207) 523-3648

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 38444 Maine

Profile Details

NPI number 1942388418
LBN Legal business name Intermed Pa
DBA Doing business as Intermed Ambulatory Surgery Center
Authorized official Ferentz, William G
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 1st, 2006
Last updated May 23rd, 2022 - about 3 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 1942388418 NPPES
Maine Other CC4863 RR MEDICARE
Maine MEDICAID 126390100 RR MEDICARE

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