| Bucksport Regional Health Center Ellsworth Location | |
|
37 Commerce Park Ellsworth ME 04605-3383 | |
| (207) 667-6054 | |
| Not Available |
| Full Name | Bucksport Regional Health Center Ellsworth Location |
|---|---|
| Speciality | Clinic/Center |
| Location | 37 Commerce Park, Ellsworth, Maine |
| Authorized Official Name and Position | Carol Carew (CEO) |
| Authorized Official Contact | 2074697371 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bucksport Regional Health Center Ellsworth Location 110 Broadway Bucksport ME 04416-4612 Ph: (207) 902-1651 | Bucksport Regional Health Center Ellsworth Location 37 Commerce Park Ellsworth ME 04605-3383 Ph: (207) 667-6054 |
| NPI Number | 1568125011 |
|---|---|
| Provider Enumeration Date | 10/20/2021 |
| Last Update Date | 01/26/2024 |
| Certification Date | 01/26/2024 |
| Medicare PECOS PAC ID | 9638135858 |
|---|---|
| Medicare Enrollment ID | O20190124000601 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568125011 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | () | Secondary |
| 207Q00000X | Family Medicine | () | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | () | Primary |
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