Organization
PINES HEALTH SERVICES
Active
Parent organization
PINES HEALTH SERVICES
Other names
Pines Kimball Community Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
PINES HEALTH SERVICES
Authorized official
MR. JAMES DAVIS (CEO)
(207) 498-2359
Entity
Organization
Contact information
Practice address
11 HARMONY LN, FORT FAIRFIELD, ME 04742-3354
(207) 472-0590
(207) 472-0592
Mailing address
PO BOX 40, CARIBOU, ME 04736-0040
(207) 498-1320
(207) 498-1149
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
207Q00000X
Family Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
09/04/2013
Last updated
09/04/2013
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