Lewiston Std Clinic

LBN: Western Maine Community Action
Lewiston Std Clinic is an health care organization with primary practice located at 179 Lisbon St , Lewiston ME 04240-7248. The organization recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as the primary health care specialty. Western Maine Community Action can be contacted via phone (207) 795-4007, or through Gerry, Judith via phone (207) 645-3760.

Contact Information

Primary practice address
179 Lisbon St Lewiston ME 04240-7248
Phone: (207) 795-4007
Fax: (207) 795-4084
Website:
Map and Directions
Authorized official contact:
Name: Gerry, Judith
Phone: (207) 645-3760

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X

Profile Details

NPI number 1679890800
LBN Legal business name Western Maine Community Action
DBA Doing business as Lewiston Std Clinic
Authorized official Gerry, Judith
Entity Organization
Organization subpart 1 No
Enumeration date Apr 28th, 2010
Last updated Apr 28th, 2010 - about 15 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 1679890800 NPPES
Maine MEDICAID 103700001

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