Organization
BATES COLLEGE HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTY TISDALE FNP (MEDICAL DIRECTOR)
(207) 786-6199
Entity
Organization
Contact information
Practice address
31 CAMPUS AVE, LEWISTON, ME 04240-6009
(207) 786-6199
(207) 786-8240
Mailing address
PO BOX 1028, AUBURN, ME 04211-1028
(207) 777-5370
(207) 777-5471
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
261QS1000X
Student Health Clinic/Center
Primary
R021539
ME
Other
Enumeration date
05/21/2013
Last updated
05/21/2013
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