Provider Demographics
NPI:1457728180
Name:VA MAINE HEALTH
Entity Type:Organization
Organization Name:VA MAINE HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE RECRUITER/HR SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:DANAMARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:FORTIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-621-7362
Mailing Address - Street 1:1 VA CENTER 05
Mailing Address - Street 2:VA MAINE HEALTHCARE SYSTEM-TOGUS
Mailing Address - City:AUGUSTA
Mailing Address - State:ME
Mailing Address - Zip Code:04330
Mailing Address - Country:US
Mailing Address - Phone:207-623-8411
Mailing Address - Fax:
Practice Address - Street 1:1 VA CENTER 05
Practice Address - Street 2:VA MAINE HEALTHCARE SYSTEM-TOGUS
Practice Address - City:AUGUSTA
Practice Address - State:ME
Practice Address - Zip Code:04330
Practice Address - Country:US
Practice Address - Phone:207-623-8411
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-28
Last Update Date:2015-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME66544282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital