Organization
MILES MEMORIAL HOSPITAL INCORPORATED
Active
Parent organization
MILES MEMORIAL HOSPITAL INCORPORATED
Other names
Miles Internal Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
MILES MEMORIAL HOSPITAL INCORPORATED
Authorized official
STACEY A MILLER (VP PHYSICIAN SERVICES)
(207) 563-4383
Entity
Organization
Contact information
Practice address
5 MILES CENTER WAY, UNIT 1, DAMARISCOTTA, ME 04543
(207) 563-4250
(207) 563-4246
Mailing address
5 MILES CENTER WAY, UNIT 1, DAMARISCOTTA, ME 04543
(207) 563-4250
(207) 563-4246
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
11/27/2006
Last updated
04/05/2011
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