Organization
EASTPORT HEALTH CARE, INC.
Active
Organization
EASTPORT HEALTH CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WANDA MATTHEWS (CFO)
(207) 853-0180
Entity
Organization
Contact information
Practice address
160 DUBLIN ST, MACHIAS, ME 04654-3409
(207) 255-8290
(207) 853-6180
Mailing address
PO BOX H, EASTPORT, ME 04631-0909
(207) 853-6001
(207) 853-4031
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295020691
—
ME
Enumeration date
06/14/2011
Last updated
01/08/2024
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