| Health Access Network-west Enfield | |
|
47 Bridge Street West Enfield ME 04493 | |
| (207) 794-6700 | |
| (207) 732-5247 |
| Full Name | Health Access Network-west Enfield |
|---|---|
| Speciality | Clinic/Center |
| Location | 47 Bridge Street, West Enfield, Maine |
| Authorized Official Name and Position | Carrie E Glidden (EMR MANAGER) |
| Authorized Official Contact | 2077946700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Health Access Network-west Enfield Po Box 99 Lincoln ME 04457-0099 Ph: (207) 794-6700 | Health Access Network-west Enfield 47 Bridge Street West Enfield ME 04493 Ph: (207) 794-6700 |
| NPI Number | 1588823769 |
|---|---|
| Provider Enumeration Date | 06/03/2008 |
| Last Update Date | 08/06/2018 |
| Medicare PECOS PAC ID | 2769393180 |
|---|---|
| Medicare Enrollment ID | O20030829000018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588823769 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |