| Dfd Russell Medical Center Inc | |
|
25 Hospital Dr Bridgton ME 04009-1167 | |
| (207) 524-3501 | |
| (207) 647-4000 |
| Full Name | Dfd Russell Medical Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 25 Hospital Dr, Bridgton, Maine |
| Authorized Official Name and Position | Laurie Kane-lewis (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 2075243501 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dfd Russell Medical Center Inc 25 Hospital Dr Bridgton ME 04009-1167 Ph: () - | Dfd Russell Medical Center Inc 25 Hospital Dr Bridgton ME 04009-1167 Ph: (207) 524-3501 |
| NPI Number | 1225615404 |
|---|---|
| Provider Enumeration Date | 03/25/2021 |
| Last Update Date | 12/22/2021 |
| Medicare PECOS PAC ID | 3274502000 |
|---|---|
| Medicare Enrollment ID | O20211027002783 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225615404 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Joyful Balance Holistic Healing Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 171 Portland Rd Ste 4, Bridgton, ME 04009 Phone: 207-803-8888 | |
Liane Muller, D.o., Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 63 Main St, Suite A, Bridgton, ME 04009 Phone: 207-647-2440 Fax: 207-647-3775 |