| Organization Name: | SOUTHERN MAINE HEALTH CARE |
| NPI Number: | 1043635147 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NORMAN D BELAIR (SENIOR VP/CFO) |
| Mailing Address: | 10 Goodall Dr East Waterboro |
| State: | ME US |
| Postal Code: | 040305214 |
| Phone Number: | 2074907760 |
| Fax Number: | |
| NPI Enumeration Date: | 02/26/2014 |
| NPI Last Update Date: | 02/26/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QU0200X |
| License Number: | 37915 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Urgent Care |
| Taxonomy Definition: | |