Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 60 Second St, Auburn, Maine |
Authorized Official Name and Position | Coleen L Elias (CEO/CFO) |
Authorized Official Contact | 2075133897 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Po Box 95000 Lbx 7660 Philadelphia PA 19195-0001 Ph: (207) 777-8202 | 60 Second St Auburn ME 04210-6853 Ph: (207) 755-3456 |
NPI Number | 1487080958 |
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Provider Enumeration Date | 09/17/2013 |
Last Update Date | 10/22/2020 |
Medicare PECOS PAC ID | 0042101099 |
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Medicare Enrollment ID | O20220128001646 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487080958 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Central Maine Orthopaedics, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 690 Minot Ave, Suite One, Auburn, ME 04210 Phone: 207-783-1328 Fax: 207-795-0260 | |
Sweet Song Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 249 Old Danville Rd, Auburn, ME 04210 Phone: 207-240-7543 | |