Organization Name: | CENTRAL MAINE MEDICAL FAMILY |
NPI Number: | 1437399359 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PHILIP O'CONNOR (OFFICE COORDINATOR) |
Mailing Address: | 77 Bates St Ste 202 Lewiston |
State: | ME US |
Postal Code: | 042407637 |
Phone Number: | 2077845784 |
Fax Number: | 2077950749 |
NPI Enumeration Date: | 03/05/2009 |
NPI Last Update Date: | 03/05/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 4394 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |