Full Name | |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 447 Main Rd, Carmel, Maine |
Authorized Official Name and Position | Randall Clark (VP OF FINANCE) |
Authorized Official Contact | 2074875141 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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447 N Main St Pittsfield ME 04967-3707 Ph: (207) 487-0916 | 447 Main Rd Carmel ME 04419-3547 Ph: (207) 848-5846 |
NPI Number | 1912160839 |
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Provider Enumeration Date | 07/10/2008 |
Last Update Date | 09/30/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912160839 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |