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5 Lowell St Ste 4 Calais ME 04619-1712 | |
(207) 796-5503 | |
(207) 796-5528 |
Full Name | |
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Speciality | Clinic/Center |
Location | 5 Lowell St Ste 4, Calais, Maine |
Authorized Official Name and Position | Michael Farrell (CEO) |
Authorized Official Contact | 2077965503 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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136 Mill St Princeton ME 04668-3344 Ph: (207) 796-5503 | 5 Lowell St Ste 4 Calais ME 04619-1712 Ph: (207) 796-5503 |
NPI Number | 1467573469 |
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Provider Enumeration Date | 04/03/2007 |
Last Update Date | 12/11/2024 |
Medicare PECOS PAC ID | 3577524024 |
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Medicare Enrollment ID | O20210511002456 |
Identifier | Type | State | Issuer |
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1467573469 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
St Croix Regional Family Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Lowell St Ste 4, Calais, ME 04619 Phone: 207-796-5503 Fax: 207-796-5528 | |
John Tkach Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Lowell St, Suite 6, Calais, ME 04619 Phone: 207-454-3500 Fax: 207-454-3503 |