Intermed Pa in South Portland - Ambulatory Surgical
Intermed Pa - NPI 1942388418
Intermed Pa is a Ambulatory Surgical in South Portland, Maine. Intermed Pa practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Intermed Pa is 1942388418. The last update date is 2022-05-23.
Intermed Pa's current location address is 100 Gannett Dr, South Portland, Maine. You can contact this provider via phone number 2078280361 and fax number 2078741483. The mailing address for Intermed Pa is 100 Gannett Dr, South Portland, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Intermed Pa |
|---|---|
| Address | 100 Gannett Dr, South Portland, Maine |
| Phone Number | 2078280361 |
| Fax Number | 2078741483 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF FINA |
|---|---|
| Authorized Official Name | Ferentz G William |
| Telephone Number | 2075233648 |
NPI Number Detail
| NPI Number | 1942388418 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2022-05-23 |
Provider Mailing Address Detail
| Address | 100 Gannett Dr |
|---|---|
| City | South Portland |
| State | Maine (ME) |
| Post Code | 41065900 |
| Phone Number | 2078280361 |
| Fax Number | 2078741483 |
Provider's Primary Taxonomy Detail
| Speciality | Ambulatory Surgical |
|---|---|
| Taxonomy | 261Qa1903X |
| Licence No | 38444 |
|
Definition: Provides outpatient surgical services not requiring hospitalization. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CC4863 | ME | RR MEDICARE | |
| 126390100 | ME | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Intermed Pa by the Centers for Medicare & Medicaid Services?
The Intermed Pa has been issued the NPI (National Provider Identifier) 1942388418, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Intermed Pa's facilities are geographically located?
The facilities of Intermed Pa are physically situated at the following location: 100 Gannett Dr, South Portland, ME, 41065900.
What is the Intermed Pa's area of specialization and corresponding taxonomy classification?
The Intermed Pa's specialty field is Ambulatory Surgical, and it falls under the taxonomy code 261Qa1903X, which categorizes healthcare providers based on their specialties.
On what date was the 1942388418 assigned to Intermed Pa?
The Intermed Pa was issued its 1942388418 on 2006-11-01, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Intermed Pa, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Intermed Pa, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-05-23.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY