| Evergreen Family Practice | |
|
246 Kennedy Memorial Dr Waterville ME 04901-4556 | |
| (207) 873-6655 | |
| (207) 877-9826 |
| Full Name | Evergreen Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 246 Kennedy Memorial Dr, Waterville, Maine |
| Authorized Official Name and Position | Barbara A Crowley (PRESIDENT) |
| Authorized Official Contact | 2076261063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evergreen Family Practice 150 Dresden Ave Gardiner ME 04345-2615 Ph: (207) 621-9337 | Evergreen Family Practice 246 Kennedy Memorial Dr Waterville ME 04901-4556 Ph: (207) 873-6655 |
| NPI Number | 1790982809 |
|---|---|
| Provider Enumeration Date | 07/02/2007 |
| Last Update Date | 10/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790982809 | NPI | - | NPPES |
| 164570013 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
A R Amalfitano, Do Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 94 Silver St, Waterville, ME 04901 Phone: 207-873-0644 Fax: 207-873-6749 | |
Roland H. Knausenberger, M.d. Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 180 Kennedy Memorial Dr, Suite 202, Waterville, ME 04901 Phone: 207-872-2900 Fax: 207-872-8495 | |
Trinity Health Of New England Provider Network Organization Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7 Highwood St, Waterville, ME 04901 Phone: 203-573-0705 | |
Healthreach Community Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Water St, Ste 305, Waterville, ME 04901 Phone: 207-872-5610 Fax: 207-660-9901 | |
Waterville Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 13 Railroad Sq, Waterville, ME 04901 Phone: 207-873-1181 Fax: 207-873-1186 | |
Three Rivers Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 180 Kennedy Memorial Dr, Suite 301, Waterville, ME 04901 Phone: 207-873-3753 Fax: 207-873-2620 | |
Family Medicine Associates Of Waterville Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Washington St, Waterville, ME 04901 Phone: 207-877-7100 Fax: 207-872-6134 |