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Contact Information

NORTHERN MAINE MEDICAL CENTER
25 BOLDUC AVE
FORT KENT, ME04743-1601
 Phone: 207-834-3915
 Fax: 207-834-5538
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
Indicates primary specialty

NPI Profile & details for NORTHERN MAINE MEDICAL CENTER

NPI # 1174519490
LBN Legal business name NORTHERN MAINE MEDICAL CENTER
Authorized official JEFFREY ZEWE - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 09/22/2005
Last updated 09/15/2022 - About 4 years ago
Identifiers
ME License # 36151
ME Medicaid 1174519490
ME Other 031150 ANTHEM BLUE CROSS & BS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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