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MMC FAMILY PRACTICE RESIDENCY PROGRAM
NPI 1225232606
Family Medicine in Portland, ME

Active since June 12, 2007CLIA 20D0702786 · Waiver
272 CONGRESS ST, PORTLAND, ME 04102(207) 874-2466(207) 774-4625 Get Directions Write a Review

NPPES record last updated: April 24, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 24, 2020, Jul 10, 2018 (2 updates tracked since 2018).

About Mmc Family Practice Residency Program NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MMC FAMILY PRACTICE RESIDENCY PROGRAM (NPI 1225232606) is a healthcare organization registered as a family medicine in Portland, Maine and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through October 11, 2026 and lists Lugene Anthony Inzana, Svp Finance/cfo, as its authorized official.

NPPES Registry Identity

NPI1225232606
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMAINEHEALTH
Location Address272 CONGRESS STPortland, ME 04102
Mailing Address301c Us Route 1Scarborough, ME 04074-9701 · (207) 396-8600 · Fax (207) 396-8632
Phone(207) 874-2466
Fax(207) 774-4625
Organization SubpartNo
Authorized OfficialLugene Anthony InzanaSvp Finance/cfo · (207) 662-3538
Enumeration DateJune 12, 2007
Last NPPES UpdateApril 24, 20202 updates tracked since enumeration
NPPES CertifiedApril 24, 2020
✔ NPI 1225232606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X
272 CONGRESS ST, Portland, ME 04102
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Other Names 1

Doing Business AsMmc Family Practice Residency Program

Other Identifiers 1

Medicaid30216370NH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 20D0702786

Mainehealth Primary Care Portland & Falmouth · Portland, ME
Active · expires Oct 11, 2026
CLIA Number20D0702786
Laboratory TypePhysician Office
Certificate Effective DateOctober 12, 2024
Certificate Expiration DateOctober 11, 2026
Laboratory DirectorAdriana Isacke
Laboratory Phone(207) 874-2466
Laboratory LocationMainehealth Primary Care Portland & Falmouth272 Congress Street, Portland, ME 04101
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. WILLIAM W DEXTER MD
Family Medicine (Sports Medicine)
272 CONGRESS ST
PORTLAND, ME 04102
Cumberland County (207) 874-2466

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mainehealth's NPI number?

The NPI number for Mainehealth is 1225232606. It was assigned to this organization in the NPPES registry on June 12, 2007. The provider is doing business as Mmc Family Practice Residency Program.

Where is Mainehealth located?

Mainehealth is located at 272 Congress St, Portland, ME 04102. The listed phone number is (207) 874-2466.

What is Mainehealth's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Mainehealth hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 20D0702786) is associated with this NPI, valid through October 11, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mainehealth accept?

Health plans from Anthem Blue Cross and Blue Shield list Mainehealth as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mainehealth was last updated on April 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.