Sheepscot Valley Health Center | |
47 Main Street Coopers Mills ME 04341 | |
(207) 549-7581 | |
(207) 549-3439 |
Full Name | Sheepscot Valley Health Center |
---|---|
Speciality | Clinic/Center |
Location | 47 Main Street, Coopers Mills, Maine |
Authorized Official Name and Position | Constance R Coggins (PRESIDENT/CEO) |
Authorized Official Contact | 2078725610 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Sheepscot Valley Health Center 47 Main Street Po Box 207 Coopers Mills ME 04341 Ph: (207) 549-7581 | Sheepscot Valley Health Center 47 Main Street Coopers Mills ME 04341 Ph: (207) 549-7581 |
NPI Number | 1841263118 |
---|---|
Provider Enumeration Date | 02/08/2006 |
Last Update Date | 11/10/2014 |
Medicare PECOS PAC ID | 5496726523 |
---|---|
Medicare Enrollment ID | O20050107000482 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841263118 | NPI | - | NPPES |
137970106 | Medicaid | ME |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | E58728 (Maine) | Primary |
Provider Name | Dianne J Raymond |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447276886 PECOS PAC ID: 7416920129 Enrollment ID: I20040907000375 |
Provider Name | Lois C Hamel Corson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730135039 PECOS PAC ID: 4880650613 Enrollment ID: I20041203000464 |
Provider Name | Ann M. Schwink |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1164493136 PECOS PAC ID: 3173575289 Enrollment ID: I20050217000265 |
Provider Name | Cynthia R Robertson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1316911787 PECOS PAC ID: 7012952278 Enrollment ID: I20050628000443 |
Provider Name | Nancy J Cooley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346282233 PECOS PAC ID: 2668484965 Enrollment ID: I20060706000042 |
Provider Name | Kathryn G Wistar |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1720175599 PECOS PAC ID: 7315944873 Enrollment ID: I20061026000346 |
Provider Name | Roy Miller |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1700854361 PECOS PAC ID: 9032306212 Enrollment ID: I20101214000796 |
Provider Name | Lynn M Murphy |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1437300837 PECOS PAC ID: 5294992335 Enrollment ID: I20120201000724 |
Provider Name | Diane Zavotsky |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1023128261 PECOS PAC ID: 8123099215 Enrollment ID: I20141104001286 |
Provider Name | Nancy R Glover |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659890473 PECOS PAC ID: 8325304934 Enrollment ID: I20171115001851 |
Provider Name | Natalie Ledue |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063064491 PECOS PAC ID: 4981935053 Enrollment ID: I20191004000924 |