Portland Endoscopy Center

LBN: Portland Endoscopy Center
Portland Endoscopy Center is an health care organization with primary practice located at 161 Marginal Way , Portland ME 04101-2438. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Portland Endoscopy Center can be contacted via phone (207) 773-7964, or through Gousse, Melissa via phone (207) 773-7964.

Contact Information

Primary practice address
161 Marginal Way Portland ME 04101-2438
Phone: (207) 773-7964
Fax: (207) 773-9073
Website:
Map and Directions
Authorized official contact:
Name: Gousse, Melissa
Phone: (207) 773-7964

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X

Profile Details

NPI number 1558456459
LBN Legal business name Portland Endoscopy Center
DBA Doing business as
Authorized official Gousse, Melissa
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2006
Last updated Sep 8th, 2022 - about 4 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 1558456459 NPPES
Maine MEDICAID 118790000

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