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11 Harmony Ln Fort Fairfield ME 04742-3354 | |
(207) 472-0590 | |
(207) 472-0592 |
Full Name | |
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Speciality | Clinic/Center |
Location | 11 Harmony Ln, Fort Fairfield, Maine |
Authorized Official Name and Position | James Davis (CEO) |
Authorized Official Contact | 2074982359 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 40 Caribou ME 04736-0040 Ph: (207) 498-1320 | 11 Harmony Ln Fort Fairfield ME 04742-3354 Ph: (207) 472-0590 |
NPI Number | 1508291089 |
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Provider Enumeration Date | 09/04/2013 |
Last Update Date | 09/04/2013 |
Medicare PECOS PAC ID | 0749275113 |
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Medicare Enrollment ID | O20140109000923 |
Identifier | Type | State | Issuer |
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1508291089 | NPI | - | NPPES |