Organization
SEBASTICOOK FAMILY DOCTORS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN L WINSLOW (CHIEF EXECUTIVE OFFICER)
(207) 368-5189
Entity
Organization
Contact information
Practice address
71 ELM ST, NEWPORT, ME 04953-3121
(207) 368-2500
Mailing address
118 MOOSEHEAD TRL, STE 5, NEWPORT, ME 04953-4055
(207) 368-5189
(207) 368-4213
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
01/19/2011
Last updated
01/19/2011
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