Organization
SEBASTICOOK VALLEY PRIMARY CARE
Active
Organization
SEBASTICOOK VALLEY PRIMARY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GAETANE T BLAIR (BUSINESS MANAGER)
(207) 487-5071
Entity
Organization
Contact information
Practice address
140 CHANDLER STREET, PITTSFIELD, ME 04967-0515
(207) 487-9244
(207) 487-2834
Mailing address
PO BOX 515, 140 CHANDLER STREET, PITTSFIELD, ME 04967-0515
(207) 487-9244
(207) 487-2834
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023158
DR. HUOT STAR ID
ME
01
—
024866
ANTHEM STAR ID
ME
Enumeration date
02/06/2007
Last updated
08/16/2007
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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