# EVERGREEN HEALTH, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Evregreen, Health LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407403611
- **Authorized official:** ERIN BAKER BILLING ACCOUNT MANA (ACCOUNTS COORDINATOR)
- **Authorized official phone:** (207) 662-4500

## Contact information

- **Practice address:** 29 BOWDOIN ST, MANCHESTER, ME 04351-3554
- **Practice address phone:** (207) 622-4500
- **Practice address fax:** (207) 622-5452
- **Mailing address:** 29 BOWDOIN ST, MANCHESTER, ME 04351-3554
- **Mailing address phone:** (207) 622-4500
- **Mailing address fax:** (207) 622-5452

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/22/2019
- **Last updated:** 08/22/2019