| Katahdin Valley Health Center | |
|
50 Summer St Millinocket ME 04462-1400 | |
| (207) 723-6565 | |
| (207) 723-6564 |
| Full Name | Katahdin Valley Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 50 Summer St, Millinocket, 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 50 Summer St Millinocket ME 04462-1400 Ph: (207) 723-6565 |
| NPI Number | 1003034406 |
|---|---|
| Provider Enumeration Date | 04/23/2007 |
| Last Update Date | 12/20/2016 |
| Medicare PECOS PAC ID | 4880659903 |
|---|---|
| Medicare Enrollment ID | O20110815000073 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003034406 | NPI | - | NPPES |
| 168260104 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Mrh Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 200 Somerset St, Suite 3, Millinocket, ME 04462 Phone: 207-723-5173 Fax: 207-723-3040 | |
Mrh Primary Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 200 Somerset St, Millinocket, ME 04462 Phone: 207-723-5173 Fax: 207-723-3346 | |
Health Access Network-millinocket Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 24 Balsam Dr, Millinocket, ME 04462 Phone: 207-794-6700 Fax: 207-723-8001 |