| Brewer High School Based Clinic | |
|
79 Parkway S Brewer ME 04412 | |
| (207) 992-2456 | |
| (207) 992-2154 |
| Full Name | Brewer High School Based Clinic |
|---|---|
| Speciality | General Practice |
| Location | 79 Parkway S, Brewer, Maine |
| Authorized Official Name and Position | Lori L. Dwyer (PRESIDENT & CEO) |
| Authorized Official Contact | 2079929200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brewer High School Based Clinic Po Box 1599 103 Maine Ave Bangor ME 04402-1599 Ph: (207) 945-5247 | Brewer High School Based Clinic 79 Parkway S Brewer ME 04412 Ph: (207) 992-2456 |
| NPI Number | 1013000942 |
|---|---|
| Provider Enumeration Date | 10/02/2006 |
| Last Update Date | 08/06/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013000942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
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Vision 2C Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 24 Walton Dr Ste A6, Brewer, ME 04412 Phone: 207-200-1492 Fax: 844-801-2454 |
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