Provider Demographics
NPI:1417446121
Name:MAINE URGENT CARE, LLC
Entity Type:Organization
Organization Name:MAINE URGENT CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-795-2813
Mailing Address - Street 1:364 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LEWISTON
Mailing Address - State:ME
Mailing Address - Zip Code:04240-7029
Mailing Address - Country:US
Mailing Address - Phone:207-795-5646
Mailing Address - Fax:207-795-7193
Practice Address - Street 1:105 TOPSHAM FAIR MALL RD STE 8
Practice Address - Street 2:
Practice Address - City:TOPSHAM
Practice Address - State:ME
Practice Address - Zip Code:04086-1773
Practice Address - Country:US
Practice Address - Phone:207-798-6333
Practice Address - Fax:207-798-6335
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-08
Last Update Date:2018-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care