Provider Demographics
NPI:1427181486
Name:EASTERN MAINE HEALTHCARE SYSTEMS INLAND HOSPITAL
Entity Type:Organization
Organization Name:EASTERN MAINE HEALTHCARE SYSTEMS INLAND HOSPITAL
Other - Org Name:INLAND FAMILY CARE- UNITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BETSY
Authorized Official - Middle Name:
Authorized Official - Last Name:ABBOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-861-3338
Mailing Address - Street 1:PO BOX 172
Mailing Address - Street 2:
Mailing Address - City:UNITY
Mailing Address - State:ME
Mailing Address - Zip Code:04988-0172
Mailing Address - Country:US
Mailing Address - Phone:207-948-2100
Mailing Address - Fax:207-948-3018
Practice Address - Street 1:80 MAIN STREET
Practice Address - Street 2:
Practice Address - City:UNITY
Practice Address - State:ME
Practice Address - Zip Code:04988-0000
Practice Address - Country:US
Practice Address - Phone:207-948-2100
Practice Address - Fax:207-948-3018
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2012-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME116010200Medicaid
ME208504Medicare Oscar/Certification