| Full Name | |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 43 S Lubec Rd, Lubec, Maine |
| Authorized Official Name and Position | Tom Macdonald (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2077331090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
43 S Lubec Rd Lubec ME 04652-3620 Ph: (207) 733-5541 | 43 S Lubec Rd Lubec ME 04652-3620 Ph: (207) 733-5541 |
| NPI Number | 1639644586 |
|---|---|
| Provider Enumeration Date | 10/08/2018 |
| Last Update Date | 07/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639644586 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Regional Medical Center At Lubec Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 44 South St, Lubec, ME 04652 Phone: 207-733-5541 |