Farwell Associates | |
22 Farwell St Lisbon ME 04250-6824 | |
(207) 353-8118 | |
(207) 407-1209 |
Full Name | Farwell Associates |
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Speciality | Community/Behavioral Health |
Location | 22 Farwell St, Lisbon, Maine |
Authorized Official Name and Position | Mariette Marie Hanlon (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 2073538118 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Farwell Associates 22 Farwell St Lisbon ME 04250-6824 Ph: (207) 353-8118 | Farwell Associates 22 Farwell St Lisbon ME 04250-6824 Ph: (207) 353-8118 |
NPI Number | 1588986764 |
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Provider Enumeration Date | 02/16/2010 |
Last Update Date | 02/16/2010 |
Medicare PECOS PAC ID | 4183752025 |
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Medicare Enrollment ID | O20100513000315 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588986764 | NPI | - | NPPES |
1932274859 | Other | ME | ENTITY TYPE 1 NPI NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 593865 (Maine) | Primary |
Provider Name | Linda Smith |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1194880922 PECOS PAC ID: 9335030071 Enrollment ID: I20040323000489 |
Provider Name | Mariette M Hanlon |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1932274859 PECOS PAC ID: 2860569175 Enrollment ID: I20080927000150 |