Maine Coast Mobile Med, Llc

LBN: Maine Coast Mobile Med, Llc
Maine Coast Mobile Med, Llc is an health care organization with primary practice located at 1576 Hammond St Ste C , Bangor ME 04401-5751. The organization recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist, Suppliers / Portable X-ray and/or Other Portable Diagnostic Imaging Supplier. Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist is the primary health care specialty. Maine Coast Mobile Med, Llc can be contacted via phone (207) 404-4894, or through Forst, Phillip via phone (207) 497-2996.

Contact Information

Primary practice address
1576 Hammond St Ste C Bangor ME 04401-5751
Phone: (207) 404-4894
Fax: (207) 907-4911
Website:
Map and Directions
Authorized official contact:
Name: Forst, Phillip
Phone: (207) 497-2996

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist 247100000X RT3575 Maine
Suppliers / Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X

Profile Details

NPI number 1710100839
LBN Legal business name Maine Coast Mobile Med, Llc
DBA Doing business as
Authorized official Forst, Phillip
Entity Organization
Organization subpart 1 No
Enumeration date Apr 10th, 2007
Last updated Dec 24th, 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 1710100839 NPPES
Maine Other 684929 TUFTS
Maine MEDICAID 132120000 TUFTS
Maine Other MN3768 TUFTS
Maine Other 2328397 TUFTS
Maine Other M161680 TUFTS
Maine Other 630001645 TUFTS
Maine Other 040509 TUFTS

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