| Family Health Center Of Southern Maine, P.a. | |
|
778 Main St Suite #1 South Portland ME 04106-5447 | |
| (207) 775-7758 | |
| (207) 879-7758 |
| Full Name | Family Health Center Of Southern Maine, P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 778 Main St, South Portland, Maine |
| Authorized Official Name and Position | John Edward Kazilionis (PRESIDENT) |
| Authorized Official Contact | 2077757758 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Health Center Of Southern Maine, P.a. 778 Main St Suite #1 South Portland ME 04106-5447 Ph: (207) 775-7758 | Family Health Center Of Southern Maine, P.a. 778 Main St Suite #1 South Portland ME 04106-5447 Ph: (207) 775-7758 |
| NPI Number | 1477692010 |
|---|---|
| Provider Enumeration Date | 02/06/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477692010 | NPI | - | NPPES |
| 041126 | Other | ME | BLUE CROSS |
| 2541034 | Other | ME | AETNA |
| M197320 | Other | ME | CIGNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 917 (Maine) | Primary |
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