| |
2 Great Falls Plz Suite 21, Room A Auburn ME 04210-5966 | |
(207) 330-3950 | |
(207) 330-3955 |
Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 2 Great Falls Plz, Auburn, Maine |
Authorized Official Name and Position | Coleen L Elias (CEO/CFO) |
Authorized Official Contact | 2075133897 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Po Box 95000 Lbx 7660 Philadelphia PA 19195-0001 Ph: (207) 777-8208 | 2 Great Falls Plz Suite 21, Room A Auburn ME 04210-5966 Ph: (207) 330-3950 |
NPI Number | 1821442039 |
---|---|
Provider Enumeration Date | 04/14/2016 |
Last Update Date | 10/22/2020 |
Medicare PECOS PAC ID | 0042101099 |
---|---|
Medicare Enrollment ID | O20160811000292 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821442039 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Central Maine Orthopaedics, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 690 Minot Ave, Suite One, Auburn, ME 04210 Phone: 207-783-1328 Fax: 207-795-0260 | |
Sweet Song Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 249 Old Danville Rd, Auburn, ME 04210 Phone: 207-240-7543 | |