Organization
DEPARTMENT OF VETERAN AFFAIRS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN P. MCEWAN CSW (GEC CARE LINE MANAGER)
(207) 623-8411
Entity
Organization
Contact information
Practice address
163 VAN BUREN RD, SUITE 6, CARIBOU, ME 04736-3567
(207) 485-1711
(207) 493-3877
Mailing address
163 VAN BUREN RD, SUITE 6, CARIBOU, ME 04736-3567
(207) 485-1711
(207) 493-3877
Taxonomy
Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary
6801086877
MI
Other
Enumeration date
07/27/2006
Last updated
08/22/2020
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