| Rumford Community Family Health Center, Inc. | |
|
146 Weld St Dixfield ME 04224-9614 | |
| (207) 562-4226 | |
| Not Available |
| Full Name | Rumford Community Family Health Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 146 Weld St, Dixfield, Maine |
| Authorized Official Name and Position | John Kroger (DIVISION CHIEF) |
| Authorized Official Contact | 2073690146 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rumford Community Family Health Center, Inc. 430 Franklin St Rumford ME 04276-2104 Ph: (207) 562-4226 | Rumford Community Family Health Center, Inc. 146 Weld St Dixfield ME 04224-9614 Ph: (207) 562-4226 |
| NPI Number | 1902841083 |
|---|---|
| Provider Enumeration Date | 06/20/2006 |
| Last Update Date | 05/04/2012 |
| Medicare PECOS PAC ID | 1557340460 |
|---|---|
| Medicare Enrollment ID | O20120912000051 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902841083 | NPI | - | NPPES |
| 000209012 | Medicaid | ME | |
| 125700101 | Medicaid | ME | |
| 125700000 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 203988 (Maine) | Primary |