Northern Light Primary Care Dover-foxcroft | |
891 W Main St Suite 200 Dover Foxcroft ME 04426-1059 | |
(207) 564-4464 | |
(207) 564-4461 |
Full Name | Northern Light Primary Care Dover-foxcroft |
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Speciality | Family Medicine |
Location | 891 W Main St, Dover Foxcroft, 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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Northern Light Primary Care Dover-foxcroft 897 W Main St Dover Foxcroft ME 04426-1029 Ph: (207) 564-4464 | Northern Light Primary Care Dover-foxcroft 891 W Main St Suite 200 Dover Foxcroft ME 04426-1059 Ph: (207) 564-4464 |
NPI Number | 1548382328 |
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Provider Enumeration Date | 04/04/2007 |
Last Update Date | 04/23/2020 |
Medicare PECOS PAC ID | 1355770892 |
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Medicare Enrollment ID | O20200403000182 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548382328 | NPI | - | NPPES |
C22673 | Other | ME | RAILROAD MEDICARE |
DC3866 | Other | ME | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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