Organization
HEALTHREACH COMMUNITY HEALTH CENTERS
Active
Other names
Rangeley Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
CONSTANCE R COGGINS (PRESIDENT/CEO)
(207) 861-3407
Entity
Organization
Contact information
Practice address
42 DALLAS HILL RD, RANGELEY, ME 04970
(207) 864-3303
(207) 864-2969
Mailing address
PO BOX 569, 42 DALLAS HILL ROAD, RANGELEY, ME 04970
(207) 864-3947
(207) 864-2969
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
E58728
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137970110
—
ME
Enumeration date
02/14/2006
Last updated
07/07/2008
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