Mmc Pediatric Intensive Care Unit
LBN: Mainehealth
Mmc Pediatric Intensive Care Unit is an health care organization with primary practice located at 22 Bramhall St , Portland ME 04102. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is the primary health care specialty.
Mainehealth can be contacted via phone (207) 662-2179, or through Inzana, Lugene Anthony via phone (207) 662-3538.
Contact Information
Primary practice address
22 Bramhall St
Portland ME 04102
Phone: (207) 662-2179
Fax: (207) 662-6326
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ||
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X |
Profile Details
| NPI number | 1265536817 |
|---|---|
| LBN Legal business name | Mainehealth |
| DBA Doing business as | Mmc Pediatric Intensive Care Unit |
| Authorized official | Inzana, Lugene Anthony |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 12th, 2006 |
| Last updated | May 11th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265536817 | NPPES |
| Maine | MEDICAID | 102500000 |
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