Organization
MRH CORP.
Active
Organization
MRH CORP.
Active
Other names
Mayo Regional Hospital, 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 ST, DOVER FOXCROFT, ME 04426-1029
(207) 564-8401
(207) 564-4377
Mailing address
897 W MAIN ST, DOVER FOXCROFT, ME 04426-1029
(207) 564-8401
(207) 564-4377
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
36472
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106760000
—
ME
01
—
200066
MEDICARE PTAN PART B
—
01
—
C22673
RAILROAD MEDICARE
ME
01
—
DC3866
RAILROAD MEDICARE
ME
Enumeration date
05/05/2006
Last updated
10/28/2025
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