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151 Capitol Street
Augusta, Maine
Telephone:
(207) 287-6722
Fax:
(207) 287-6732
 
Mailing Address
102 SHS
Augusta, Maine
04333-0102  


Restricted Hospital Ambulatory Services and Non-hospital Ambulatory Services
  • FACILITYID
  • DATE OF BIRTH
  • SEX
  • RACE
  • RESIDENCE
  • DATE OF SERVICE
  • REFERRING PHYSICIAN
  • RESPONSIBLE PHYSICIAN
  • DIRECT PROVIDER
  • PRIMARY ICD9 DIAGNOSIS CODE
  • SECONDARY ICD9 DIAGNOSIS CODE
  • SECONDARY ICD9 DIAGNOSIS CODE
  • DISPOSITION
  • PAYMENT SOURCE
  • ZIP CODE
  • TOTAL CHARGES
  • PHYSICIAN CHARGES
  • CPT4 PX CODE
  • CPT4 PX CODE
  • CPT4 PX CODE
  • AGE
  • SPECIALTY CODE (REFERRING PHYSICIAN)
  • SPECIALTY CODE (RESPONSIBLE PHYSICIAN)
  • SPECIALTY CODE (DIRECT PROVIDER)
  • UNIQUE IDENTIFIER
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