Full Name | |
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Speciality | Family Medicine |
Location | 4 Main St, Van Buren, Maine |
Authorized Official Name and Position | Lisa M Caron (COO) |
Authorized Official Contact | 2074982356 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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74 Access Hwy Caribou ME 04736-3807 Ph: (207) 498-2359 | 4 Main St Van Buren ME 04785-1009 Ph: (207) 868-2796 |
NPI Number | 1629393327 |
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Provider Enumeration Date | 04/06/2010 |
Last Update Date | 08/27/2013 |
Medicare PECOS PAC ID | 0749275113 |
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Medicare Enrollment ID | O20070716000498 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629393327 | NPI | - | NPPES |