| Maine Integrative Healthcare | |
|
144 Thadeus St. Suite 1 South Portland ME 04106 | |
| (207) 544-9800 | |
| (207) 544-9900 |
| Full Name | Maine Integrative Healthcare |
|---|---|
| Speciality | Family Medicine |
| Location | 144 Thadeus St., South Portland, Maine |
| Authorized Official Name and Position | Benjamin P Hagopian (CEO, DIRECT OWNER) |
| Authorized Official Contact | 2075449800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maine Integrative Healthcare 144 Thadeus St. Suite 1 South Portland ME 04106 Ph: (207) 544-9800 | Maine Integrative Healthcare 144 Thadeus St. Suite 1 South Portland ME 04106 Ph: (207) 544-9800 |
| NPI Number | 1447520366 |
|---|---|
| Provider Enumeration Date | 01/10/2012 |
| Last Update Date | 01/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447520366 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2150 (Maine) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208D00000X | General Practice | 2142 (Maine) | Secondary |
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Intermed, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 50 Foden Rd, South Portland, ME 04106 Phone: 207-523-3700 Fax: 207-523-8591 |