Provider Demographics
NPI:1326379942
Name:MAINEGENERAL HEALTH ASSOCIATES
Entity Type:Organization
Organization Name:MAINEGENERAL HEALTH ASSOCIATES
Other - Org Name:OAKLAND FAMILY MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT, MGHA
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:A
Authorized Official - Last Name:CROWLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:207-626-1097
Mailing Address - Street 1:9 PLEASANT ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04963-5034
Mailing Address - Country:US
Mailing Address - Phone:207-465-2181
Mailing Address - Fax:207-465-4629
Practice Address - Street 1:9 PLEASANT ST
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:ME
Practice Address - Zip Code:04963-5034
Practice Address - Country:US
Practice Address - Phone:207-465-2181
Practice Address - Fax:207-465-4629
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-21
Last Update Date:2010-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty