| Impact Health Wound Care Pllc | |
|
323 State St Ste 5 Augusta ME 04330-7149 | |
| (404) 319-9485 | |
| Not Available |
| Full Name | Impact Health Wound Care Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 323 State St Ste 5, Augusta, Maine |
| Authorized Official Name and Position | Jose A Ventura (OWNER) |
| Authorized Official Contact | 4043199485 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Impact Health Wound Care Pllc 240 Indian River Rd Ste C7 Orange CT 06477-3691 Ph: (203) 497-3861 | Impact Health Wound Care Pllc 323 State St Ste 5 Augusta ME 04330-7149 Ph: (404) 319-9485 |
| NPI Number | 1093502742 |
|---|---|
| Provider Enumeration Date | 04/24/2025 |
| Last Update Date | 07/02/2025 |
| Medicare PECOS PAC ID | 4587181581 |
|---|---|
| Medicare Enrollment ID | O20250502002175 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093502742 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jose Ventura |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932337763 PECOS PAC ID: 6002068707 Enrollment ID: I20200605000907 |
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