Maine Coast Healthcare Corporation | |
50 Union St Ellsworth ME 04605-1534 | |
(207) 664-5304 | |
(207) 664-5305 |
Full Name | Maine Coast Healthcare Corporation |
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Speciality | Clinic/center - Dental |
Location | 50 Union St, Ellsworth, Maine |
Authorized Official Name and Position | Charles D Therrien (CEO/PRESIDENT) |
Authorized Official Contact | 2076645301 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Maine Coast Healthcare Corporation 50 Union St Ellsworth ME 04605-1534 Ph: (207) 664-5304 | Maine Coast Healthcare Corporation 50 Union St Ellsworth ME 04605-1534 Ph: (207) 664-5304 |
NPI Number | 1053731026 |
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Provider Enumeration Date | 04/17/2014 |
Last Update Date | 04/17/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053731026 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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