Organization
WALDO COUNTY GENERAL HOSPITAL
Active
Parent organization
WALDO COUNTY GENERAL HOSPITAL
Other names
Donald S. Walker Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALDO COUNTY GENERAL HOSPITAL
Authorized official
GORDON L TIBBETTS (CFO)
(207) 338-2500
Entity
Organization
Contact information
Practice address
43 WEST MAIN STREET, LIBERTY, ME 04949
(207) 589-4509
(207) 589-3104
Mailing address
43 WEST MAIN STREET, LIBERTY, ME 04949
(207) 589-4509
(207) 589-3104
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
36424
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101570202
—
ME
Enumeration date
11/24/2006
Last updated
06/24/2008
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