| Katahdin Valley Health Center | |
|
922 Dyer Brook Rd Dyer Brook ME 04747-5028 | |
| (207) 528-2285 | |
| (207) 528-2880 |
| Full Name | Katahdin Valley Health Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 922 Dyer Brook Rd, Dyer Brook, Maine |
| Authorized Official Name and Position | Claudette G Humphrey (CEO) |
| Authorized Official Contact | 2075282285 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Katahdin Valley Health Center 529 S Patten Rd Patten ME 04765 Ph: (207) 528-2285 | Katahdin Valley Health Center 922 Dyer Brook Rd Dyer Brook ME 04747-5028 Ph: (207) 528-2285 |
| NPI Number | 1316497001 |
|---|---|
| Provider Enumeration Date | 10/06/2016 |
| Last Update Date | 10/29/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316497001 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |