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19 Saint Andrews Ln Boothbay Harbor ME 04538-1732 | |
(207) 633-7820 | |
(207) 633-7082 |
Full Name | |
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Speciality | Clinic/Center |
Location | 19 Saint Andrews Ln, Boothbay Harbor, Maine |
Authorized Official Name and Position | Lugene Anthony Inzana (ASSOCIATE CFO, MAINEHEALTH) |
Authorized Official Contact | 2076622654 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 745 Newcastle ME 04553-0745 Ph: (207) 563-4146 | 19 Saint Andrews Ln Boothbay Harbor ME 04538-1732 Ph: (207) 633-7820 |
NPI Number | 1881709202 |
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Provider Enumeration Date | 08/19/2006 |
Last Update Date | 10/13/2024 |
Certification Date | 10/13/2024 |
Medicare PECOS PAC ID | 7517860588 |
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Medicare Enrollment ID | O20181106000027 |
Identifier | Type | State | Issuer |
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1881709202 | NPI | - | NPPES |
1881709202-002 | Medicaid | ME |
Lincolnhealth Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 19 Saint Andrews Ln, Boothbay Harbor, ME 04538 Phone: 207-633-7820 |