Northern Maine Medical Center | |
194 East Main Street Fort Kent ME 04743-1428 | |
(207) 834-3155 | |
(207) 834-2949 |
Full Name | Northern Maine Medical Center |
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Speciality | Psychiatric Unit |
Location | 194 East Main Street, Fort Kent, Maine |
Authorized Official Name and Position | Jeffrey Zewe (CEO) |
Authorized Official Contact | 2078341411 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Northern Maine Medical Center 194 East Main Street Fort Kent ME 04743-1428 Ph: (207) 834-3155 | Northern Maine Medical Center 194 East Main Street Fort Kent ME 04743-1428 Ph: (207) 834-3155 |
NPI Number | 1801872759 |
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Provider Enumeration Date | 12/21/2005 |
Last Update Date | 09/15/2022 |
Certification Date | 09/15/2022 |
Medicare PECOS PAC ID | 8426952987 |
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Medicare Enrollment ID | O20191008000787 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801872759 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
273R00000X | Psychiatric Unit | 36341 (Maine) | Primary |
Behavioral Health Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 194 E Main St, Fort Kent, ME 04743 Phone: 207-834-3101 Fax: 207-834-2917 |