| Nasson Health Care-mbh-springvale | |
|
474 Main St Springvale ME 04083-1409 | |
| (207) 490-6900 | |
| (207) 324-0546 |
| Full Name | Nasson Health Care-mbh-springvale |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 474 Main St, Springvale, Maine |
| Authorized Official Name and Position | Diane Laurendeau (CFO) |
| Authorized Official Contact | 2073245762 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nasson Health Care-mbh-springvale 6 Spruce St Sanford ME 04073-2917 Ph: (207) 324-5762 | Nasson Health Care-mbh-springvale 474 Main St Springvale ME 04083-1409 Ph: (207) 490-6900 |
| NPI Number | 1932578259 |
|---|---|
| Provider Enumeration Date | 09/16/2015 |
| Last Update Date | 01/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932578259 | NPI | - | NPPES |
| 000216073 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
York County Community Health Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15 Oak St, Springvale, ME 04083 Phone: 207-490-6900 Fax: 207-324-0546 | |
Nasson Health Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15 Oak St, Springvale, ME 04083 Phone: 207-490-6900 Fax: 207-324-0546 |