| Rsu/sad#60 | |
|
388 Somersworth Rd North Berwick ME 03906-6559 | |
| (207) 676-2175 | |
| (207) 676-2204 |
| Full Name | Rsu/sad#60 |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 388 Somersworth Rd, North Berwick, Maine |
| Authorized Official Name and Position | Susan Austin (ASSISTANT SUPERINTENDANT) |
| Authorized Official Contact | 2076762234 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rsu/sad#60 388 Somersworth Rd North Berwick ME 03906-6559 Ph: (207) 676-2175 | Rsu/sad#60 388 Somersworth Rd North Berwick ME 03906-6559 Ph: (207) 676-2175 |
| NPI Number | 1164720827 |
|---|---|
| Provider Enumeration Date | 03/04/2011 |
| Last Update Date | 02/28/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164720827 | NPI | - | NPPES |
| 321280099 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | CNP81654 (Maine) | Primary |
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