| Fish River Rural Health | |
|
3 Mountainview Dr Fort Kent ME 04743-1614 | |
| (207) 834-3971 | |
| (207) 834-3837 |
| Full Name | Fish River Rural Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 3 Mountainview Dr, Fort Kent, Maine |
| Authorized Official Name and Position | Heather Pelletier (CEO) |
| Authorized Official Contact | 2078343971 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fish River Rural Health 10 Carter St. Po Box 309 Eagle Lake ME 04739-0309 Ph: (207) 444-5973 | Fish River Rural Health 3 Mountainview Dr Fort Kent ME 04743-1614 Ph: (207) 834-3971 |
| NPI Number | 1174741094 |
|---|---|
| Provider Enumeration Date | 04/23/2007 |
| Last Update Date | 11/17/2022 |
| Medicare PECOS PAC ID | 3577531953 |
|---|---|
| Medicare Enrollment ID | O20040923000121 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174741094 | NPI | - | NPPES |
| 016881 | Other | ME | ANTHEM BLUE CROSS SHIELD |
| 121330000 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Jessica Plourde Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104931997 PECOS PAC ID: 0143299065 Enrollment ID: I20040928000770 |
| Provider Name | Rebecca M Smith |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1780769745 PECOS PAC ID: 9234196197 Enrollment ID: I20041213000885 |
| Provider Name | Amy N Hebert |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1760533269 PECOS PAC ID: 6709829542 Enrollment ID: I20050602001158 |
| Provider Name | Carl B Chasse |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1548315450 PECOS PAC ID: 3375588635 Enrollment ID: I20050627001048 |
| Provider Name | Lisa Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063677987 PECOS PAC ID: 4587732268 Enrollment ID: I20081008000203 |
| Provider Name | Daniel D Chasse |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1720128085 PECOS PAC ID: 7416084660 Enrollment ID: I20100421000065 |
| Provider Name | Paul M Pelletier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689699852 PECOS PAC ID: 8628261153 Enrollment ID: I20101018000133 |
| Provider Name | Matthew H. Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962545343 PECOS PAC ID: 0648430637 Enrollment ID: I20120329000041 |
| Provider Name | Douglas D Levesque |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952447179 PECOS PAC ID: 7517119704 Enrollment ID: I20121217000191 |
| Provider Name | Cameron L Grange |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023329000 PECOS PAC ID: 2961647680 Enrollment ID: I20150520002513 |
| Provider Name | Tyler J Stoliker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417312158 PECOS PAC ID: 0345547071 Enrollment ID: I20160324000560 |
| Provider Name | Melissa L Stoliker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891149597 PECOS PAC ID: 1052608494 Enrollment ID: I20160928001333 |
| Provider Name | Allison Guerrette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003356809 PECOS PAC ID: 7315219268 Enrollment ID: I20170828001702 |
| Provider Name | Ricardo R Salvat |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1376598706 PECOS PAC ID: 2264417294 Enrollment ID: I20180413000203 |
| Provider Name | Sarah P Pelletier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417434804 PECOS PAC ID: 4688925092 Enrollment ID: I20180925001023 |
| Provider Name | Amber C Caron |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1760845291 PECOS PAC ID: 6709138415 Enrollment ID: I20181008002973 |
| Provider Name | Kristin G Ayotte |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679944490 PECOS PAC ID: 7113262767 Enrollment ID: I20181231000178 |
| Provider Name | Sara Louise Desrosier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568875029 PECOS PAC ID: 0941548341 Enrollment ID: I20190211000762 |
| Provider Name | Jessica J Partlow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528422870 PECOS PAC ID: 0446548929 Enrollment ID: I20191001003113 |
| Provider Name | Brendan D Hurley |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1457971384 PECOS PAC ID: 3870924541 Enrollment ID: I20200513000662 |
| Provider Name | Chelsea E Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093243511 PECOS PAC ID: 6103198783 Enrollment ID: I20200824002996 |
| Provider Name | Aaron D Howard |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1124108121 PECOS PAC ID: 9335548759 Enrollment ID: I20221110001599 |
| Provider Name | Peyton Lee Hebert |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598439960 PECOS PAC ID: 4082150131 Enrollment ID: I20240724004031 |
Northern Maine Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 197 E Main St, Fort Kent, ME 04743 Phone: 207-834-1573 | |
Fish River Rural Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12 Bolduc Ave, Fort Kent, ME 04743 Phone: 207-834-3012 Fax: 207-834-2412 | |
Northern Maine Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 197 E Main St, Fort Kent, ME 04743 Phone: 207-834-6784 | |
Northern Maine Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 194 E Main St, Fort Kent, ME 04743 Phone: 207-834-6140 |