NPI 1386946804

Lewiston Primary Care Clinic

Organisation Health Maintenance Organization Lewiston, ME

Practice location

Address: 280 Lisbon St, Lewiston, ME 04240-7304
Phone: (207) 344-9899
Mailing address: PO Box 7972, Lewiston, ME 04243-7972

Authorised official

Name: Abdihakim S Abdi
Title: Sole Mbr
Phone: (207) 344-9899

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X

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Registry record

NPI: 1386946804
Entity type: Organization
NPI issued: 4 Dec 2010
Record last updated: 20 Jan 2011

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.