Western Avenue Day Surgery Center

LBN: Western Avenue Day Surgery Center
Western Avenue Day Surgery Center is an health care organization with primary practice located at 244 Western Ave , South Portland ME 04106-2430. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Western Avenue Day Surgery Center can be contacted via phone (207) 775-3446, or through Vaughan, Thomas E via phone (207) 775-3446.

Contact Information

Primary practice address
244 Western Ave South Portland ME 04106-2430
Phone: (207) 775-3446
Fax: (207) 879-4188
Website:
Map and Directions
Authorized official contact:
Name: Vaughan, Thomas E Doctor of Medicine (MD)
Phone: (207) 775-3446

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X 38157 Maine

Profile Details

NPI number 1841688942
LBN Legal business name Western Avenue Day Surgery Center
DBA Doing business as
Authorized official Vaughan, Thomas E Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 26th, 2014
Last updated Jan 18th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841688942 NPPES
Maine MEDICAID 107150200

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