Fish River Rural Health | |
10 Carter St. Eagle Lake ME 04739-0309 | |
(207) 444-5973 | |
(207) 444-5520 |
Full Name | Fish River Rural Health |
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Speciality | Clinic/Center |
Location | 10 Carter St., Eagle Lake, Maine |
Authorized Official Name and Position | Heather Pelletier (CEO) |
Authorized Official Contact | 2074445973 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Fish River Rural Health 10 Carter St. Po Box 309 Eagle Lake ME 04739-0309 Ph: (207) 444-5973 | Fish River Rural Health 10 Carter St. Eagle Lake ME 04739-0309 Ph: (207) 444-5973 |
NPI Number | 1376761288 |
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Provider Enumeration Date | 04/23/2007 |
Last Update Date | 11/15/2016 |
Medicare PECOS PAC ID | 3577531953 |
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Medicare Enrollment ID | O20101104000714 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376761288 | NPI | - | NPPES |
121330001 | Medicaid | ME | |
005514 | Other | ME | ANTHEM BLUE CROSS SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |