| Western Maine Family Health Center | |
|
16 Depot St Suite 300 Livermore Falls ME 04254 | |
| (207) 897-4345 | |
| (207) 897-2321 |
| Full Name | Western Maine Family Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 16 Depot St, Livermore Falls, 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 |
|---|---|
| Western Maine Family Health Center 16 Depot St Suite 300 Livermore Falls ME 04254 Ph: (207) 897-4345 | Western Maine Family Health Center 16 Depot St Suite 300 Livermore Falls ME 04254 Ph: (207) 897-4345 |
| NPI Number | 1497728133 |
|---|---|
| Provider Enumeration Date | 02/13/2006 |
| Last Update Date | 11/10/2014 |
| Medicare PECOS PAC ID | 5496726523 |
|---|---|
| Medicare Enrollment ID | O20050302000521 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497728133 | NPI | - | NPPES |
| 137970108 | 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 | 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 | Cecile M Sullivan Rohrbach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265622989 PECOS PAC ID: 4486747482 Enrollment ID: I20070907000132 |
| Provider Name | Roy Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700854361 PECOS PAC ID: 9032306212 Enrollment ID: I20101214000796 |
| Provider Name | Alyson B Poland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497057145 PECOS PAC ID: 9638311962 Enrollment ID: I20130815000284 |
| Provider Name | Diane Zavotsky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023128261 PECOS PAC ID: 8123099215 Enrollment ID: I20141104001286 |
| Provider Name | Joline A Sage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285038174 PECOS PAC ID: 8527383736 Enrollment ID: I20150211000386 |
| Provider Name | Elizabeth Kerr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619352267 PECOS PAC ID: 9739495110 Enrollment ID: I20150831001638 |
| Provider Name | Michelle Sweetser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568820264 PECOS PAC ID: 4789980392 Enrollment ID: I20160308002086 |
Knapp Family Practice, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 96 Main St, Livermore Falls, ME 04254 Phone: 207-897-6200 Fax: 207-897-6300 | |
Mainehealth Primary Care & Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 21 Main St, Livermore Falls, ME 04254 Phone: 207-897-4339 | |
Livermore Falls Addiction Medicine Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 32 Main St, Livermore Falls, ME 04254 Phone: 207-376-9009 Fax: 207-835-4884 | |
Rockomeka Family Practice Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 38 Union Street, Livermore Falls, ME 04254 Phone: 207-897-6601 Fax: 207-897-4339 |