Active NPIOrganization

Bayside Employee Health Center

Point of Service in Portland, Maine

NPI Number1871668947
Practice location
323 Marginal Way, Portland, ME 04101-2543
Fax
207-780-6320
Last updated
August 22, 2020

Bayside Employee Health Center is a healthcare organization based in Portland, ME. Bayside Employee Health Center practices in Portland, ME. The NPI Number for Bayside Employee Health Center is 1871668947 and holds a License No. 013905 (ME). The current practice location address for Bayside Employee Health Center is 323 Marginal Way, Portland, ME 04101-2543 and can be reached out via phone at 207-780-6631 and via fax at 207-780-6320.

Provider Profile Details

NPI Number
1871668947
Provider Name
Bayside Employee Health Center
Provider Entity Type
Organization
Address
323 Marginal Way, Portland, ME 04101-2543
Phone Number
207-780-6631
Fax Number
207-780-6320
Primary Taxonomy
Point of Service · 305S00000X
Organization Subpart
No
Authorized Official
Ms. Jane Glass, DO · Owner Physiatrist · 207-780-6631
Provider Enumeration Date
November 22, 2006
Last Update Date
August 22, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
323 Marginal Way
Portland, ME 04101-2543
State
Maine
Zip
04101-2543
Phone Number
207-780-6631
Fax Number
207-780-6320
Portland, ME 04101Get directions →

Provider Business Mailing Address Details

Address
323 Marginal Way
Po Box 697
Portland, ME 04101-2543
City
Portland
State
ME
Zip
04101-2543
Phone Number
207-780-6631
Fax Number
207-780-6320

License Information

License Number (1)
013905
License State (1)
ME
Taxonomy (1)
Point of Service · 305S00000X
License Number (2)
PA-042
License State (2)
ME
Taxonomy (2)
Point of Service · 305S00000X
License Number (3)
1249
License State (3)
ME
Taxonomy (3)
Point of Service · 305S00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Bayside Employee Health Center?

The NPI number of Bayside Employee Health Center is 1871668947. It was assigned on November 22, 2006 and is currently active in the NPPES registry.

What is the specialty of Bayside Employee Health Center?

Bayside Employee Health Center is registered under the primary taxonomy Point of Service (code 305S00000X), licensed in ME under license number 013905.

Where does Bayside Employee Health Center practice?

The practice location is 323 Marginal Way, Portland, ME 04101-2543. The office can be reached at 207-780-6631 (phone) or 207-780-6320 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1871668947 directly on the NPPES registry website.

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