St Croix Regional Family Health Center | |
5 Lowell St Ste 4 Calais ME 04619-1712 | |
(207) 796-5503 | |
(207) 796-5528 |
Full Name | St Croix Regional Family Health Center |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 5 Lowell St Ste 4, Calais, Maine |
Authorized Official Name and Position | Michael Farrell (CEO) |
Authorized Official Contact | 2077965503 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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St Croix Regional Family Health Center 136 Mill St Princeton ME 04668-3344 Ph: (207) 796-5503 | St Croix Regional Family Health Center 5 Lowell St Ste 4 Calais ME 04619-1712 Ph: (207) 796-5503 |
NPI Number | 1154034411 |
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Provider Enumeration Date | 01/03/2023 |
Last Update Date | 12/11/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154034411 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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 | |