Congenital Heart

LBN: Pediatric Cardiology Assoc Pa
Congenital Heart is an health care organization with primary practice located at 71 Us Route 1 Suite C, Scarborough ME 04074-7173. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as the primary health care specialty. Pediatric Cardiology Assoc Pa can be contacted via phone (207) 883-5532, or through Donnelly, Jon Patrick via phone (207) 883-5532.

Contact Information

Primary practice address
71 Us Route 1 Suite C Scarborough ME 04074-7173
Phone: (207) 883-5532
Fax: (207) 883-5552
Website:
Map and Directions
Authorized official contact:
Name: Donnelly, Jon Patrick Doctor of Medicine (MD)
Phone: (207) 883-5532

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 014324 Maine

Profile Details

NPI number 1346311925
LBN Legal business name Pediatric Cardiology Assoc Pa
DBA Doing business as Congenital Heart
Authorized official Donnelly, Jon Patrick Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 13th, 2006
Last updated Aug 28th, 2017 - about 9 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 1346311925 NPPES
Maine MEDICAID 112590000
Maine MEDICAID 30004962

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