Geriatric Consults

LBN: Mainehealth
Geriatric Consults is an health care organization with primary practice located at 22 Bramhall St , Portland ME 04102. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as the primary health care specialty. Mainehealth can be contacted via phone (207) 662-6353, or through Inzana, Lugene Anthony via phone (207) 662-3538.

Contact Information

Primary practice address
22 Bramhall St Portland ME 04102
Phone: (207) 662-6353
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Inzana, Lugene Anthony
Phone: (207) 662-3538

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X

Profile Details

NPI number 1164610242
LBN Legal business name Mainehealth
DBA Doing business as Geriatric Consults
Authorized official Inzana, Lugene Anthony
Entity Organization
Organization subpart 1 No
Enumeration date Oct 15th, 2007
Last updated Apr 24th, 2020 - 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 1164610242 NPPES
Maine MEDICAID 102500205
Maine MEDICAID 30216948

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