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3 Willow Run Room A Auburn ME 04210-8501 | |
(207) 795-6800 | |
(207) 795-6140 |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 3 Willow Run, Auburn, Maine |
Authorized Official Name and Position | Coleen L Elias (CEO/CFO) |
Authorized Official Contact | 2075133897 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 95000 Lbx 7660 Philadelphia PA 19195-0001 Ph: (207) 777-8202 | 3 Willow Run Room A Auburn ME 04210-8501 Ph: (207) 795-6800 |
NPI Number | 1346695756 |
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Provider Enumeration Date | 05/04/2016 |
Last Update Date | 10/22/2020 |
Identifier | Type | State | Issuer |
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1346695756 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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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 | |