Houlton Family Practice | |
22 Hartford St Houlton ME 04730-1844 | |
(207) 532-3289 | |
(207) 532-5974 |
Full Name | Houlton Family Practice |
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Speciality | Clinic/Center |
Location | 22 Hartford St, Houlton, Maine |
Authorized Official Name and Position | Shawn D Anderson (CEO) |
Authorized Official Contact | 2075212152 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Houlton Family Practice 22 Hartford St Houlton ME 04730-1844 Ph: (207) 532-3289 | Houlton Family Practice 22 Hartford St Houlton ME 04730-1844 Ph: (207) 532-3289 |
NPI Number | 1386601524 |
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Provider Enumeration Date | 05/01/2006 |
Last Update Date | 03/28/2023 |
Medicare PECOS PAC ID | 0042127946 |
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Medicare Enrollment ID | O20040123000218 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386601524 | NPI | - | NPPES |
167890200 | Medicaid | ME |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (Maine) | Primary |
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