State of Maine

Practice location

Address

5 Caldwell Rd, Augusta, ME 04330-0011

Phone

(207) 287-5747

Fax

(207) 287-5755

Mailing address

109 Capitol Street Shs#11 Reimbursement Unit, Augusta, ME 04333-0011

Authorised official

Name

Jennifer Gagnon

Title

Financial Manager

Phone

(207) 624-4675

Registered specialties

Registry record

NPI

1386887008

Entity type

Organization

NPI issued

10 Apr 2009

Record last updated

14 Jun 2019

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.