CONVENIENTMD LLC NPI 1851991251

NPI Information

NPI: 1851991251
Provider Name: CONVENIENTMD LLC
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 20D2204754

Address:
235 HIGH ST
ELLSWORTH, ME
ZIP 04605
Phone: (207) 412-5200
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CONVENIENTMD LLC is an urgent care clinic center in Ellsworth, ME. CONVENIENTMD LLC NPI is 1851991251. The provider is registered as an organization entity type.

The provider's business location address is:

235 HIGH ST
ELLSWORTH, ME
ZIP 04605-715
Phone: (207) 412-5200

The provider's authorized official is Jarod Boissonneault .
The authorized official title is Director Of Revenue Cycle Mgt and has the following contact phone number (603) 319-6223.

The CLIA number assigned to this NPI record is 20D2204754 - other - urgent care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/27/2020 and was last updated on 10/27/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QU0200X	Clinic/Center	Urgent Care			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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