Organization
MAINE MOBILE HEALTH PROGRAM, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMELIA RUKEMA (CHIEF EXECUTIVE OFFICER)
(207) 557-0870
Entity
Organization
Contact information
Practice address
79 LEIGHTON RD, AUGUSTA, ME 04330-7747
(207) 622-9252
(207) 626-7612
Mailing address
PO BOX 405, AUGUSTA, ME 04332-0405
(207) 622-9252
(207) 626-7612
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
11/02/2011
Last updated
10/02/2025
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