| Maine Mobile Health Program, Inc. | |
|
9 Green St Suite 220 Augusta ME 04330-7451 | |
| (207) 622-9252 | |
| (207) 626-7612 |
| Full Name | Maine Mobile Health Program, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 9 Green St, Augusta, Maine |
| Authorized Official Name and Position | Carol Murphy (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2076229252 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maine Mobile Health Program, Inc. Po Box 405 Augusta ME 04332-0405 Ph: (207) 622-9252 | Maine Mobile Health Program, Inc. 9 Green St Suite 220 Augusta ME 04330-7451 Ph: (207) 622-9252 |
| NPI Number | 1376829598 |
|---|---|
| Provider Enumeration Date | 11/02/2011 |
| Last Update Date | 04/13/2023 |
| Medicare PECOS PAC ID | 3870480627 |
|---|---|
| Medicare Enrollment ID | O20040414001335 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376829598 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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