| Fish River Rural Health | |
|
12 Bolduc Ave Fort Kent ME 04743-1602 | |
| (207) 834-3012 | |
| (207) 834-2412 |
| Full Name | Fish River Rural Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 12 Bolduc Ave, Fort Kent, Maine |
| Authorized Official Name and Position | Heather Pelletier (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2074445973 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fish River Rural Health Po Box 309 Eagle Lake ME 04739-0309 Ph: (207) 444-5973 | Fish River Rural Health 12 Bolduc Ave Fort Kent ME 04743-1602 Ph: (207) 834-3012 |
| NPI Number | 1568838928 |
|---|---|
| Provider Enumeration Date | 08/19/2015 |
| Last Update Date | 08/19/2015 |
| Medicare PECOS PAC ID | 3577531953 |
|---|---|
| Medicare Enrollment ID | O20151022000320 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568838928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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