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364 Pritham Ave Greenville ME 04441 | |
(207) 695-5220 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 364 Pritham Ave, Greenville, Maine |
Authorized Official Name and Position | Marie Vienneau (PRESIDENT) |
Authorized Official Contact | 2076955271 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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364 Pritham Ave Greenville ME 04441 Ph: () - | 364 Pritham Ave Greenville ME 04441 Ph: (207) 695-5220 |
NPI Number | 1265441323 |
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Provider Enumeration Date | 08/07/2006 |
Last Update Date | 07/18/2024 |
Medicare PECOS PAC ID | 1557279031 |
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Medicare Enrollment ID | O20070201000158 |
Identifier | Type | State | Issuer |
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1265441323 | NPI | - | NPPES |
153970200 | Medicaid | ME |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | 36400 (Maine) | Primary |