Organization
MRH CORP.
Active
Other names
Northern Light Mayo Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL CLARK (PRESIDENT)
(207) 564-4256
Entity
Organization
Contact information
Practice address
897 W MAIN STREET, DOVER FOXCROFT, ME 04426
(207) 564-8401
Mailing address
897 W MAIN ST, DOVER FOXCROFT, ME 04426
(207) 564-8401
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
—
—
282NC0060X
Critical Access Hospital
36667
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106760000
—
ME
01
—
C22673
RAILROAD MEDICARE
ME
01
—
DC3866
RAILROAD MEDICARE
ME
Enumeration date
06/07/2007
Last updated
04/17/2026
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