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200 Somerset St Suite 3 Millinocket ME 04462-1258 | |
(207) 723-5173 | |
(207) 723-3040 |
Full Name | |
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Speciality | Clinic/Center |
Location | 200 Somerset St, Millinocket, Maine |
Authorized Official Name and Position | Christine Mclaughlin (CFO) |
Authorized Official Contact | 2077237231 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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200 Somerset St Suite 3 Millinocket ME 04462-1258 Ph: (207) 723-5173 | 200 Somerset St Suite 3 Millinocket ME 04462-1258 Ph: (207) 723-5173 |
NPI Number | 1366794513 |
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Provider Enumeration Date | 10/12/2012 |
Last Update Date | 12/12/2012 |
Medicare PECOS PAC ID | 3779491212 |
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Medicare Enrollment ID | O20121221000137 |
Identifier | Type | State | Issuer |
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1366794513 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Katahdin Valley Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 50 Summer St, Millinocket, ME 04462 Phone: 207-723-6565 Fax: 207-723-6564 | |