MMC PEDIATRIC INTENSIVE CARE UNIT
NPI 1265536817
Pediatrics - Pediatric Critical Care Medicine in Portland, ME

Q: What is Mainehealth's NPI number?

The NPI number for Mainehealth is 1265536817. It was assigned to this organization in the NPPES registry on September 12, 2006. The provider is doing business as Mmc Pediatric Intensive Care Unit.

Q: What is Mainehealth's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Mainehealth was last updated on May 11, 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.

Active since September 12, 2006

22 BRAMHALL ST, PORTLAND, ME 04102(207) 662-2179(207) 662-6326 Get Directions Write a Review

NPPES record last updated: May 11, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 11, 2020, Jul 10, 2018 (2 updates tracked since 2018).

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About Mmc Pediatric Intensive Care Unit NPPES

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

MMC PEDIATRIC INTENSIVE CARE UNIT (NPI 1265536817) is a healthcare organization registered as a pediatric critical care medicine in Portland, Maine and active in the NPI registry since September 2006. The organization lists Lugene Anthony Inzana, Associate Cfo, as its authorized official.

NPPES Registry Identity

NPI1265536817

Entity TypeOrganization

Primary Taxonomy2080P0203X

Legal Business NameMAINEHEALTH

Location Address22 BRAMHALL STPortland, ME 04102

Mailing Address301 Us Route 1, Building CScarborough, ME 04074-7609 · (207) 396-8600 · Fax (207) 396-8632

Phone(207) 662-2179

Fax(207) 662-6326

Organization SubpartNo

Authorized OfficialLugene Anthony InzanaAssociate Cfo · (207) 662-3538

Enumeration DateSeptember 12, 2006

Last NPPES UpdateMay 11, 20202 updates tracked since enumeration

NPPES CertifiedMay 11, 2020

✔ NPI 1265536817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Also ListedPediatricsTaxonomy 208000000X

22 BRAMHALL ST, Portland, ME 04102

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Other Names 1

Doing Business AsMmc Pediatric Intensive Care Unit

Other Identifiers 1

Medicaid102500000ME

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

ABBY LYNN LABRECQUE PA-C

Physician Assistant (Medical)