Elsemore Dixfield Family Medicine | |
146 Weld St Dixfield ME 04224-9614 | |
(207) 562-4226 | |
Not Available |
Full Name | Elsemore Dixfield Family Medicine |
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Speciality | Clinic/Center |
Location | 146 Weld St, Dixfield, Maine |
Authorized Official Name and Position | John Kroger (DIVISION CHIEF) |
Authorized Official Contact | 2073690146 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Elsemore Dixfield Family Medicine 430 Franklin St Rumford ME 04276-2104 Ph: (207) 562-4226 | Elsemore Dixfield Family Medicine 146 Weld St Dixfield ME 04224-9614 Ph: (207) 562-4226 |
NPI Number | 1902841083 |
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Provider Enumeration Date | 06/20/2006 |
Last Update Date | 05/04/2012 |
Medicare PECOS PAC ID | 1557340460 |
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Medicare Enrollment ID | O20120912000051 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902841083 | NPI | - | NPPES |
000209012 | Medicaid | ME | |
125700101 | Medicaid | ME | |
125700000 | Medicaid | ME |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | 203988 (Maine) | Primary |