Kennebec Valley Radiology Professional Association

LBN: Kennebec Valley Radiology Professional Association
Kennebec Valley Radiology Professional Association is an health care organization with primary practice located at 28 Arsenal St , Augusta ME 04330-5226. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Kennebec Valley Radiology Professional Association can be contacted via phone (207) 622-4231, or through Mansir, Pamela S via phone (207) 622-4231.

Contact Information

Primary practice address
28 Arsenal St Augusta ME 04330-5226
Fax: (207) 623-1580
Website:
Authorized official contact:
Name: Mansir, Pamela S

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X

Profile Details

NPI number 1730158734
LBN Legal business name Kennebec Valley Radiology Professional Association
DBA Doing business as
Authorized official Mansir, Pamela S
Entity Organization
Organization subpart 1 No
Enumeration date Mar 14th, 2006
Last updated Jul 7th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730158734 NPPES
Maine Other 101613 BC/BS OF MASS
Maine Other 0607 BC/BS OF MASS
Maine MEDICAID 106860000 BC/BS OF MASS
Maine Other 0062588 BC/BS OF MASS
Maine Other 0607 BC/BS OF MASS

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