| NPI | 1487346722 |
|---|---|
| Doing Business As | MAINEHEALTH MEDICAL GROUP-PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | LUGENE A INZANA Associate CFO 207-661-1346 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM |
| 207Q00000X Family Medicine | |
| 207QG0300X Family Medicine, Geriatric Medicine | |
| 207RG0300X Internal Medicine, Geriatric Medicine | |
| 208000000X Pediatrics | |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2023-05-24 |
| Last Update Date | 2025-05-15 |