Provider Demographics
NPI:1205334646
Name:MAINE ACCESSIBILITY CORPORATION
Entity type:Organization
Organization Name:MAINE ACCESSIBILITY CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:LAURI
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:MALONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-848-3484
Mailing Address - Street 1:2 PRINTERS DR STE 6
Mailing Address - Street 2:
Mailing Address - City:HERMON
Mailing Address - State:ME
Mailing Address - Zip Code:04401-1336
Mailing Address - Country:US
Mailing Address - Phone:207-848-3484
Mailing Address - Fax:
Practice Address - Street 1:2 PRINTERS DR STE 6
Practice Address - Street 2:
Practice Address - City:HERMON
Practice Address - State:ME
Practice Address - Zip Code:04401-1336
Practice Address - Country:US
Practice Address - Phone:207-848-3484
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-31
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MEVC1000057644Medicaid