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Organization
HOSPITAL ADMINISTRATIVE DISTRICT 4
Active
Organization
HOSPITAL ADMINISTRATIVE DISTRICT 4
Active
Parent organization
HOSPITAL ADMINISTRATIVE DISTRICT 4
Other names
Guilford Medical Associates, Mayo Regional Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOSPITAL ADMINISTRATIVE DISTRICT 4
Authorized official
MARIE VIENNEAU (PRESIDENT AND CEO)
(207) 564-4251
Entity
Organization
Contact information
Practice address
3 PARK STREET, GUILFORD, ME 04443
(207) 876-3547
(207) 876-3328
Mailing address
897 W MAIN ST, DOVER FOXCROFT, ME 04426-1029
(207) 876-3547
(207) 876-3328
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C22673
RAILROAD MEDICARE
ME
01
—
DC3866
RAILROAD MEDICARE
ME
Enumeration date
04/06/2007
Last updated
04/25/2019
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