Katahdin Valley Health Center | |
59 Bangor St Houlton ME 04730-1740 | |
(207) 528-2285 | |
(207) 528-2880 |
Full Name | Katahdin Valley Health Center |
---|---|
Speciality | Clinic/Center |
Location | 59 Bangor St, Houlton, Maine |
Authorized Official Name and Position | Claudette G Humphrey (CEO) |
Authorized Official Contact | 2075282285 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Katahdin Valley Health Center 529 S Patten Rd Patten ME 04765-3007 Ph: (207) 528-2285 | Katahdin Valley Health Center 59 Bangor St Houlton ME 04730-1740 Ph: (207) 528-2285 |
NPI Number | 1376618546 |
---|---|
Provider Enumeration Date | 11/22/2006 |
Last Update Date | 12/20/2016 |
Medicare PECOS PAC ID | 4880659903 |
---|---|
Medicare Enrollment ID | O20041130000688 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376618546 | NPI | - | NPPES |
168260104 | Medicaid | ME |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Provider Name | Kevin P Chasse |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1184603847 PECOS PAC ID: 6901854512 Enrollment ID: I20050111000347 |
Provider Name | Lisa Nielsen |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1598706970 PECOS PAC ID: 5193777282 Enrollment ID: I20050217000057 |
Provider Name | Gregory M Farrell |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1528141348 PECOS PAC ID: 8022059237 Enrollment ID: I20050518000653 |
Provider Name | Thomas J Vanidestine |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1538108022 PECOS PAC ID: 7315982964 Enrollment ID: I20050623000516 |
Provider Name | Alesia L Higgins |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1154325637 PECOS PAC ID: 7416988225 Enrollment ID: I20050822000929 |
Provider Name | Ronald D Ouellette |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1598745515 PECOS PAC ID: 2567497589 Enrollment ID: I20050928001131 |
Provider Name | Kathleen S Thibault |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1689616260 PECOS PAC ID: 7315966777 Enrollment ID: I20051115000326 |
Provider Name | Pamala S Pellon Irwin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770665986 PECOS PAC ID: 8628174513 Enrollment ID: I20070808000607 |
Provider Name | Holly Lee Lybarger |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073769998 PECOS PAC ID: 3870651334 Enrollment ID: I20081028000246 |
Provider Name | Nicki Larrabee |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295013365 PECOS PAC ID: 8921279464 Enrollment ID: I20110914000209 |
Provider Name | Jean M Hamlin |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1316203300 PECOS PAC ID: 9537476817 Enrollment ID: I20150918001316 |
Provider Name | Michael Farrell |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1962950733 PECOS PAC ID: 5496033573 Enrollment ID: I20161024002563 |
Provider Name | Amanda N Milliken |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629511969 PECOS PAC ID: 5395026777 Enrollment ID: I20161222001032 |
Provider Name | Sheela C. Porter Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134385552 PECOS PAC ID: 5890696942 Enrollment ID: I20170531001160 |
Provider Name | Scott D Wheeler |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1669489027 PECOS PAC ID: 1254339112 Enrollment ID: I20170601000123 |
Provider Name | Jennifer L Abbott |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1174066880 PECOS PAC ID: 9133488349 Enrollment ID: I20180116001730 |
Provider Name | Ross A Levesque |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1528460284 PECOS PAC ID: 8224350806 Enrollment ID: I20180703001826 |
Provider Name | Jennifer Creswell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700014057 PECOS PAC ID: 1052685914 Enrollment ID: I20190605001437 |
Provider Name | Shannon Stewart |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649772237 PECOS PAC ID: 9537597075 Enrollment ID: I20200317001744 |
Provider Name | Beth A. Martin |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1043793490 PECOS PAC ID: 0446510739 Enrollment ID: I20200320002665 |
Provider Name | Brendan D Hurley |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1457971384 PECOS PAC ID: 3870924541 Enrollment ID: I20200513000662 |
Provider Name | Jamieson F. Romanelli |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154936912 PECOS PAC ID: 1557771656 Enrollment ID: I20201030001305 |
Provider Name | Erin M Chandler |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1013445535 PECOS PAC ID: 0042582611 Enrollment ID: I20210115002193 |
Provider Name | Alexandra H Marcus |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1093003824 PECOS PAC ID: 2668861048 Enrollment ID: I20211105002628 |
Provider Name | Elizabeth J Farah |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194489021 PECOS PAC ID: 0143610196 Enrollment ID: I20211206001305 |
Provider Name | Kellie Louise Shuck |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598720534 PECOS PAC ID: 6901906197 Enrollment ID: I20220202002184 |
Provider Name | Jonathan T Huggins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285141085 PECOS PAC ID: 9739436122 Enrollment ID: I20220312000316 |
Provider Name | Andrew W Miller |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1538519699 PECOS PAC ID: 8921392408 Enrollment ID: I20220323000230 |
Provider Name | Jennifer Tchadjeu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437807955 PECOS PAC ID: 5294121976 Enrollment ID: I20220405002514 |
Provider Name | Emilie N Raistrick |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1942802806 PECOS PAC ID: 3476966748 Enrollment ID: I20220415001222 |
Provider Name | Heather L. Duquette |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700514643 PECOS PAC ID: 2961887211 Enrollment ID: I20220922001551 |
Provider Name | Guan Zhou Zhu |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1841854908 PECOS PAC ID: 6901289552 Enrollment ID: I20221116001218 |
Provider Name | Sarah V Allman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487370466 PECOS PAC ID: 6305215286 Enrollment ID: I20221215002396 |
Provider Name | Kashana T Gaines |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1306292701 PECOS PAC ID: 5597057356 Enrollment ID: I20230327001562 |
Provider Name | Ashley Chabre |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609576479 PECOS PAC ID: 1456718089 Enrollment ID: I20230613000899 |
Provider Name | Alexander J Kass |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1336897081 PECOS PAC ID: 6204296890 Enrollment ID: I20230713003847 |
Provider Name | Kathryn Saunders |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083641575 PECOS PAC ID: 2365435401 Enrollment ID: I20230718003830 |
Provider Name | Rylee Warman |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1902582265 PECOS PAC ID: 4789045774 Enrollment ID: I20230808000448 |
Provider Name | Jill Panther |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1245699859 PECOS PAC ID: 4688972870 Enrollment ID: I20230815001215 |
Provider Name | Morgan Abdul-korah |
---|---|
Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1548770282 PECOS PAC ID: 7810254935 Enrollment ID: I20230928003001 |
Provider Name | Christopher Castonguay |
---|---|
Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1477046571 PECOS PAC ID: 3577817477 Enrollment ID: I20230929000606 |
Provider Name | April M Walker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962047589 PECOS PAC ID: 8729432380 Enrollment ID: I20230929003209 |
Provider Name | Erik A Johnson |
---|---|
Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1184888026 PECOS PAC ID: 9032463922 Enrollment ID: I20231025001002 |
Provider Name | John Agapis |
---|---|
Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1457803801 PECOS PAC ID: 6800280397 Enrollment ID: I20231121001112 |
Provider Name | Kristin M Gallop |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336165356 PECOS PAC ID: 3577911148 Enrollment ID: I20231121002419 |
Provider Name | Joey Scott Newborn |
---|---|
Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1265649941 PECOS PAC ID: 2769763960 Enrollment ID: I20240222000598 |
Provider Name | Eseovhe Egborge |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1548434467 PECOS PAC ID: 6507923786 Enrollment ID: I20240404001897 |
Provider Name | Renee Pollard |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932711652 PECOS PAC ID: 5597144527 Enrollment ID: I20240412004083 |
Provider Name | Karine Calixte |
---|---|
Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1427320407 PECOS PAC ID: 9436457033 Enrollment ID: I20240419001616 |
Provider Name | Ralph Harrison |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1598014193 PECOS PAC ID: 7911222096 Enrollment ID: I20240517003288 |
Provider Name | Marcus Campione |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1871183236 PECOS PAC ID: 4284176876 Enrollment ID: I20240611002401 |
Houlton Band Of Maliseet Indians Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12 Clover Circle, Houlton, ME 04730 Phone: 207-532-4229 | |
Houlton Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 22 Hartford St, Houlton, ME 04730 Phone: 207-532-3289 Fax: 207-532-5974 | |
Sigrid E Tompkins Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 22 Hartford St, Houlton, ME 04730 Phone: 207-532-2900 Fax: 207-532-5974 |