| Farwell Associates | |
|
22 Farwell St Lisbon ME 04250-6824 | |
| (207) 353-8118 | |
| (207) 407-1209 |
| Full Name | Farwell Associates |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 22 Farwell St, Lisbon, Maine |
| Authorized Official Name and Position | Mariette Marie Hanlon (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2073538118 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Farwell Associates 22 Farwell St Lisbon ME 04250-6824 Ph: (207) 353-8118 | Farwell Associates 22 Farwell St Lisbon ME 04250-6824 Ph: (207) 353-8118 |
| NPI Number | 1588986764 |
|---|---|
| Provider Enumeration Date | 02/16/2010 |
| Last Update Date | 02/16/2010 |
| Medicare PECOS PAC ID | 4183752025 |
|---|---|
| Medicare Enrollment ID | O20100513000315 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588986764 | NPI | - | NPPES |
| 1932274859 | Other | ME | ENTITY TYPE 1 NPI NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 593865 (Maine) | Primary |
| Provider Name | Linda Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194880922 PECOS PAC ID: 9335030071 Enrollment ID: I20040323000489 |
| Provider Name | Mariette M Hanlon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932274859 PECOS PAC ID: 2860569175 Enrollment ID: I20080927000150 |