Provider Demographics
NPI:1013994557
Name:CONTINUEMED INC
Entity Type:Organization
Organization Name:CONTINUEMED INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:W
Authorized Official - Last Name:VANCE
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:207-767-0006
Mailing Address - Street 1:854 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:SOUTH PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04106-2712
Mailing Address - Country:US
Mailing Address - Phone:207-767-0006
Mailing Address - Fax:207-799-8979
Practice Address - Street 1:854 BROADWAY
Practice Address - Street 2:
Practice Address - City:SOUTH PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04106-2712
Practice Address - Country:US
Practice Address - Phone:207-767-0006
Practice Address - Fax:207-799-8979
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-27
Last Update Date:2008-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEWH70000688332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME011391OtherANTHEM BLUE CROSS
ME0457120001Medicare ID - Type Unspecified