NPI 1376781153

State of Maine

Organisation Point of Service Rockland, ME

Practice location

Address: 91 Camden St Suite 103, Rockland, ME 04841-2455
Phone: (207) 596-4200
Fax: (207) 596-4370

Authorised official

Name: John E Baldacci
Title: Governor
Phone: (207) 287-3531

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence 8666065 (ME)

Other Point of Service providers in Maine →

Registry record

NPI: 1376781153
Entity type: Organization
NPI issued: 1 Feb 2009
Record last updated: 1 Feb 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.