Full Name | |
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Speciality | Family Medicine |
Location | 492 Main St, Corinth, Maine |
Authorized Official Name and Position | Marie Vienneau (PRESIDENT) |
Authorized Official Contact | 2075644251 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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897 W Main St Dover Foxcroft ME 04426-1029 Ph: (207) 564-4251 | 492 Main St Corinth ME 04427-3273 Ph: (207) 285-3435 |
NPI Number | 1891888657 |
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Provider Enumeration Date | 10/02/2006 |
Last Update Date | 04/23/2020 |
Medicare PECOS PAC ID | 1355770892 |
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Medicare Enrollment ID | O20200408000988 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891888657 | NPI | - | NPPES |
208522 | Other | ME | RHC # |