Mmc Family Practice

LBN: Mainehealth
Mmc Family Practice is an health care organization with primary practice located at 272 Congress St , Portland ME 04101. The organization recently has only one registered license in Hospitals / General Acute Care Hospital, which is considered as the primary health care specialty. Mainehealth can be contacted via phone (207) 761-0650, or through Inzana, Lugene Anthony via phone (207) 662-3538.

Contact Information

Primary practice address
272 Congress St Portland ME 04101
Phone: (207) 761-0650
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Inzana, Lugene Anthony
Phone: (207) 662-3538

Health care specialties

SpecialtyCodeLicense #State
Hospitals / General Acute Care Hospital 282N00000X 36236 Maine

Profile Details

NPI number 1346267879
LBN Legal business name Mainehealth
DBA Doing business as Mmc Family Practice
Authorized official Inzana, Lugene Anthony
Entity Organization
Organization subpart 1 No
Enumeration date Jul 17th, 2006
Last updated Dec 19th, 2022 - about 2 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 1346267879 NPPES
Maine MEDICAID 102500000
Maine Other 200009000025

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