| |
1260 Main Street Washburn ME 04786 | |
(207) 455-4750 | |
(207) 455-4729 |
Full Name | |
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Speciality | Clinic/Center |
Location | 1260 Main Street, Washburn, Maine |
Authorized Official Name and Position | James M 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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74 Access Hwy Caribou ME 04736-3807 Ph: (207) 498-2359 | 1260 Main Street Washburn ME 04786 Ph: (207) 455-4750 |
NPI Number | 1922449834 |
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Provider Enumeration Date | 07/09/2013 |
Last Update Date | 08/27/2013 |
Medicare PECOS PAC ID | 0749275113 |
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Medicare Enrollment ID | O20130807000124 |
Identifier | Type | State | Issuer |
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1922449834 | NPI | - | NPPES |