Organization
NORTHERN MAINE MEDICAL CENTER
Active
Other names
Forest Hill
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY ZEWE (CEO)
(207) 834-1411
Entity
Organization
Contact information
Practice address
25 BOLDUC AVE, FORT KENT, ME 04743-1601
(207) 834-3915
(207) 834-5538
Mailing address
25 BOLDUC AVE, FORT KENT, ME 04743-1601
(207) 834-3915
(207) 834-5538
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
36151
ME
314000000X
Skilled Nursing Facility
Primary
36151
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
031150
ANTHEM BLUE CROSS & BS
ME
05
—
1174519490
—
ME
Enumeration date
09/22/2005
Last updated
09/15/2022
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