Organization
MRH CORP.
Active
Other names
Northern Light Primary Care Dexter
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE VIENNEAU (PRESIDENT)
(207) 564-4251
Entity
Organization
Contact information
Practice address
51 HIGH ST, DEXTER, ME 04930-1311
(207) 924-7349
(207) 924-5343
Mailing address
51 HIGH ST, DEXTER, ME 04930-1311
(207) 924-7349
(207) 564-1285
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
203835
RHC NUMBER
ME
01
—
DB7803
RAILROAD MEDICARE
ME
Enumeration date
04/04/2007
Last updated
04/23/2020
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