Organization
EASTERN MAINE HEALTHCARE SYSTEMS
Active
Other names
Northern Light CA Dean Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE VIENNEAU (PRESIDENT)
(207) 695-5271
Entity
Organization
Contact information
Practice address
364 PRITHAM AVE, GREENVILLE, ME 04441
(207) 695-5220
Mailing address
364 PRITHAM AVE, GREENVILLE, ME 04441
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
36400
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
153970200
—
ME
Enumeration date
08/07/2006
Last updated
07/18/2024
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