Organization
VALLEY MEDICAL ASSOCIATION
Active
Organization
VALLEY MEDICAL ASSOCIATION
Active
Other names
Long Lake Regional Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER SIROIS (CEO)
(207) 834-1408
Entity
Organization
Contact information
Practice address
384 MAIN ST, ST AGATHA, ME 04772
(207) 543-7567
Mailing address
194 E MAIN ST, FORT KENT, ME 04743
(207) 834-5877
(207) 834-2522
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165800103
—
ME
Enumeration date
01/17/2006
Last updated
05/17/2011
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