| Impact Health Wound Care Pllc | |
|
323 State St Ste 5 Augusta ME 04330-7149 | |
| (207) 370-6470 | |
| 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 | 2072005907 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| 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: (207) 370-6470 |
| NPI Number | 1093502742 |
|---|---|
| Provider Enumeration Date | 04/24/2025 |
| Last Update Date | 04/24/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093502742 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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