Organization
ISLANDS COMMUNITY MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER M GUPTILL RN (REGISTERED NURSE)
(207) 863-4341
Entity
Organization
Contact information
Practice address
15 MEDICAL CENTER LOOP, VINALHAVEN, ME 04863-4119
(207) 863-4341
(207) 863-9358
Mailing address
15 MEDICAL CENTER LOOP, VINALHAVEN, ME 04863-4119
(207) 863-4341
(207) 863-9358
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
RN65828
ME
Other
Enumeration date
04/30/2015
Last updated
04/30/2015
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