| Smmc Hospitalist | |
|
1 Medical Center Dr Biddeford ME 04005-9422 | |
| (207) 283-7000 | |
| Not Available |
| Full Name | Smmc Hospitalist |
|---|---|
| Speciality | Hospitalist |
| Location | 1 Medical Center Dr, Biddeford, Maine |
| Authorized Official Name and Position | Frank Lavoie (VP MEDICAL AFFAIRS) |
| Authorized Official Contact | 2072837000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smmc Hospitalist 39 Wallace Ave South Portland ME 04106-6143 Ph: (207) 761-0650 | Smmc Hospitalist 1 Medical Center Dr Biddeford ME 04005-9422 Ph: (207) 283-7000 |
| NPI Number | 1760669790 |
|---|---|
| Provider Enumeration Date | 01/22/2008 |
| Last Update Date | 06/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760669790 | NPI | - | NPPES |
| 432732804 | Medicaid | ME | |
| 101580000 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208M00000X | Hospitalist | (* (Not Available)) | Primary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
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