Organization
MILES MEMORIAL HOSPITAL INCORPORATED
Active
Parent organization
MILES MEMORIAL HOSPITAL INCORPORATED
Other names
Miles Memorial Hospital Swing Bed
Organization subpart
Yes
Provider details
NPI number
Legal business name
MILES MEMORIAL HOSPITAL INCORPORATED
Authorized official
WAYNE R PRINTY (CFO)
(207) 563-4476
Entity
Organization
Contact information
Practice address
35 MILES ST, DAMARISCOTTA, ME 04543-4047
(207) 563-1234
(207) 633-1224
Mailing address
PO BOX 539, WEST BOOTHBAY HARBOR, ME 04575-0539
(207) 563-1234
(207) 633-1224
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
36359
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101980000
—
ME
Enumeration date
10/04/2006
Last updated
02/23/2011
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