Bethel Family Health Center | |
32 Railroad St Bethel ME 04217-1367 | |
(207) 824-2193 | |
(207) 824-3138 |
Full Name | Bethel Family Health Center |
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Speciality | Clinic/Center |
Location | 32 Railroad St, Bethel, Maine |
Authorized Official Name and Position | Constance R Coggins (PRESIDENT/CEO) |
Authorized Official Contact | 2078725610 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bethel Family Health Center Po Box 1367 32 Railroad St Bethel ME 04217-1367 Ph: (207) 824-2193 | Bethel Family Health Center 32 Railroad St Bethel ME 04217-1367 Ph: (207) 824-2193 |
NPI Number | 1568435345 |
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Provider Enumeration Date | 02/10/2006 |
Last Update Date | 11/10/2014 |
Medicare PECOS PAC ID | 5496726523 |
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Medicare Enrollment ID | O20050301000752 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568435345 | NPI | - | NPPES |
137970100 | Medicaid | ME |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | E58728 (Maine) | Primary |
Provider Name | Leslie G Lufkin |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1598974156 PECOS PAC ID: 5991617110 Enrollment ID: I20031105000126 |
Provider Name | Lois C Hamel Corson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730135039 PECOS PAC ID: 4880650613 Enrollment ID: I20041203000464 |
Provider Name | Cynthia R Robertson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1316911787 PECOS PAC ID: 7012952278 Enrollment ID: I20050628000443 |
Provider Name | Richard Decarolis |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1306801444 PECOS PAC ID: 5597701052 Enrollment ID: I20050706000697 |
Provider Name | Thomas Kevin Finley |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1073578118 PECOS PAC ID: 3779514567 Enrollment ID: I20050822000722 |
Provider Name | Nancy J Cooley |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346282233 PECOS PAC ID: 2668484965 Enrollment ID: I20060706000042 |
Provider Name | Katharyn D Sloma |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1114240470 PECOS PAC ID: 1759410681 Enrollment ID: I20100602000340 |
Provider Name | Roy Miller |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1700854361 PECOS PAC ID: 9032306212 Enrollment ID: I20101214000796 |
Provider Name | Joanne Nicastro |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316180763 PECOS PAC ID: 6305022054 Enrollment ID: I20110516000228 |
Provider Name | Alyson B Poland |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1497057145 PECOS PAC ID: 9638311962 Enrollment ID: I20130815000284 |
Provider Name | Diane Zavotsky |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1023128261 PECOS PAC ID: 8123099215 Enrollment ID: I20141104001286 |
Provider Name | Denise M Thorn |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1518484898 PECOS PAC ID: 5294086484 Enrollment ID: I20180927001380 |
Provider Name | Carly Hanson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780234633 PECOS PAC ID: 1850623109 Enrollment ID: I20191106000404 |