NPI 1871668947

Bayside Employee Health Center

Organisation Point of Service Portland, ME

Practice location

Address: 323 Marginal Way, Portland, ME 04101-2543
Phone: (207) 780-6631
Fax: (207) 780-6320
Mailing address: 323 Marginal Way PO Box 697, Portland, ME 04101-2543

Authorised official

Name: Jane Glass
Title: Owner Physiatrist
Phone: (207) 780-6631

Registered specialties (3)

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence 1249 (ME)

Other Point of Service providers in Maine →

Point of Service

Managed Care Organizations Taxonomy 305S00000X Licence 013905 (ME)

Point of Service

Managed Care Organizations Taxonomy 305S00000X Licence PA-042 (ME)

Registry record

NPI: 1871668947
Entity type: Organization
NPI issued: 22 Nov 2006
Record last updated: 22 Aug 2020

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.