| Ohi | |
|
190 Main St Ellsworth ME 04605-1919 | |
| (207) 605-1208 | |
| Not Available |
| Full Name | Ohi |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 190 Main St, Ellsworth, Maine |
| Authorized Official Name and Position | Thomas Joseph Brangwynne (A/R ADMINISTRATOR) |
| Authorized Official Contact | 2076051198 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ohi 203 Maine Ave Bangor ME 04401-4331 Ph: (207) 605-1198 | Ohi 190 Main St Ellsworth ME 04605-1919 Ph: (207) 605-1208 |
| NPI Number | 1558839969 |
|---|---|
| Provider Enumeration Date | 11/05/2018 |
| Last Update Date | 11/08/2023 |
| Certification Date | 11/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558839969 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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