Organization
KATAHDIN VALLEY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAUDETTE G HUMPHREY (CEO)
(207) 528-2285
Entity
Organization
Contact information
Practice address
50 SUMMER ST, MILLINOCKET, ME 04462-1400
(207) 723-6565
(207) 723-6564
Mailing address
529 S PATTEN RD, PATTEN, ME 04765-3007
(207) 528-2285
(207) 528-2880
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
168260104
—
ME
Enumeration date
04/23/2007
Last updated
12/20/2016
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