| Seaside Family Health Care Llc Pa | |
|
155 Saco Ave Ste 2a Old Orchard Beach ME 04064-1600 | |
| (207) 937-8254 | |
| (207) 937-8529 |
| Full Name | Seaside Family Health Care Llc Pa |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 155 Saco Ave Ste 2a, Old Orchard Beach, Maine |
| Authorized Official Name and Position | Lourie Ann Swimm (OWNER/OPERATOR) |
| Authorized Official Contact | 2079378254 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Seaside Family Health Care Llc Pa Po Box 675 Saco ME 04072-0675 Ph: (207) 502-9465 | Seaside Family Health Care Llc Pa 155 Saco Ave Ste 2a Old Orchard Beach ME 04064-1600 Ph: (207) 937-8254 |
| NPI Number | 1972093011 |
|---|---|
| Provider Enumeration Date | 05/15/2018 |
| Last Update Date | 08/09/2022 |
| Medicare PECOS PAC ID | 2163761032 |
|---|---|
| Medicare Enrollment ID | O20190312000984 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972093011 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | CNP101027 (Maine) | Primary |
| Provider Name | Lourie Ann Swimm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942521851 PECOS PAC ID: 1254517626 Enrollment ID: I20110519000311 |
| Provider Name | Micah G Malenfant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902415268 PECOS PAC ID: 4587081658 Enrollment ID: I20200903001765 |
| Provider Name | Patricia H Robinson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144957507 PECOS PAC ID: 4688058720 Enrollment ID: I20220908002274 |