Organization
HEALTHREACH COMMUNITY HEALTH CENTERS
Active
Other names
Mt Abram Regional Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
CONSTANCE R COGGINS (PRESIDENT/CEO)
(207) 872-5610
Entity
Organization
Contact information
Practice address
25 DEPOT ST, KINGFIELD, ME 04947-4208
(207) 265-4555
(207) 265-5004
Mailing address
25 DEPOT ST, KINGFIELD, ME 04947-4208
(207) 265-4555
(207) 265-5004
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
E58728
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137970102
—
ME
Enumeration date
02/14/2006
Last updated
11/10/2014
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