Maine Transplant Program
LBN: Mainehealth
Maine Transplant Program is an health care organization with primary practice located at 19 West St , Portland ME 04102. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology, Ambulatory Health Care Facilities / Clinic/Center, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Allopathic & Osteopathic Physicians / Nephrology is the primary health care specialty.
Mainehealth can be contacted via phone (207) 662-7180, or through Inzana, Lugene Anthony via phone (207) 662-3538.
Contact Information
Primary practice address
19 West St
Portland ME 04102
Phone: (207) 662-7180
Fax: (207) 662-7190
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | ||
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X |
Profile Details
| NPI number | 1780788372 |
|---|---|
| LBN Legal business name | Mainehealth |
| DBA Doing business as | Maine Transplant Program |
| Authorized official | Inzana, Lugene Anthony |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 12th, 2006 |
| Last updated | Dec 19th, 2022 - about 3 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 | 1780788372 | NPPES |
| Maine | MEDICAID | 102500201 | |
| Maine | MEDICAID | 30212545 |
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