Long Lake Regional Health Center | |
384 Main St St Agatha ME 04772 | |
(207) 543-7567 | |
Not Available |
Full Name | Long Lake Regional Health Center |
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Speciality | Internal Medicine |
Location | 384 Main St, St Agatha, Maine |
Authorized Official Name and Position | Peter Sirois (CEO) |
Authorized Official Contact | 2078341408 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Long Lake Regional Health Center 194 E Main St Fort Kent ME 04743 Ph: (207) 834-5877 | Long Lake Regional Health Center 384 Main St St Agatha ME 04772 Ph: (207) 543-7567 |
NPI Number | 1245219351 |
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Provider Enumeration Date | 01/17/2006 |
Last Update Date | 05/17/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245219351 | NPI | - | NPPES |
165800103 | Medicaid | ME |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
207R00000X | Internal Medicine | (* (Not Available)) | Primary |