Kenneth Ault Md

LBN: Mainehealth
Kenneth Ault Md is an health care organization with primary practice located at 81 Research Dr , Scarborough ME 04074. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology. Allopathic & Osteopathic Physicians / Hematology is the primary health care specialty. Mainehealth can be contacted via phone (207) 885-8130, or through Inzana, Lugene Anthony via phone (207) 662-3538.

Contact Information

Primary practice address
81 Research Dr Scarborough ME 04074
Phone: (207) 885-8130
Fax: (207) 885-8110
Website:
Map and Directions
Authorized official contact:
Name: Inzana, Lugene Anthony
Phone: (207) 662-3538

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Hematology 207RH0000X

Profile Details

NPI number 1659475036
LBN Legal business name Mainehealth
DBA Doing business as Kenneth Ault Md
Authorized official Inzana, Lugene Anthony
Entity Organization
Organization subpart 1 No
Enumeration date Sep 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659475036 NPPES
Maine MEDICAID 119910015

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