| Katahdin Valley Health Center | |
|
30 Houlton St Patten ME 04765-3035 | |
| (207) 528-2285 | |
| (207) 528-2880 |
| Full Name | Katahdin Valley Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 30 Houlton St, Patten, 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 30 Houlton St Patten ME 04765-3035 Ph: (207) 528-2285 |
| NPI Number | 1669450524 |
|---|---|
| Provider Enumeration Date | 01/02/2006 |
| Last Update Date | 12/20/2016 |
| Medicare PECOS PAC ID | 4880659903 |
|---|---|
| Medicare Enrollment ID | O20070205000317 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669450524 | NPI | - | NPPES |
| 030175 | Other | ME | ANTHEM GROUP |
| 144828 | Other | ME | AETNA GROUP |
| 168260100 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Katahdin Valley Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 529 S Patten Rd, Patten, ME 04765 Phone: 207-528-2285 Fax: 207-528-2880 | |
Cornerstone Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17 Founders St, Patten, ME 04765 Phone: 207-922-9102 Fax: 207-922-9080 | |
Katahdin Valley Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 529 S Patten Rd, Patten, ME 04765 Phone: 207-521-0675 |