Organization
BUCKSPORT REGIONAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL CAREW (CEO)
(207) 469-7371
Entity
Organization
Contact information
Practice address
110 BROADWAY, BUCKSPORT, ME 04416
(207) 469-7371
Mailing address
110 BROADWAY, BUCKSPORT, ME 04416
(207) 469-7371
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
20D0714964
ME
1223G0001X
General Practice Dentistry
20D0714964
ME
207Q00000X
Family Medicine Physician
20D0714964
ME
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
20D0714964
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
168130000
—
ME
Enumeration date
03/29/2006
Last updated
11/04/2024
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