Organization
NORTHERN MAINE MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY ZEWE (CEO)
(207) 834-1411
Entity
Organization
Contact information
Practice address
194 EAST MAIN STREET, FORT KENT, ME 04743-1428
(207) 834-3155
(207) 834-2949
Mailing address
194 EAST MAIN STREET, FORT KENT, ME 04743-1428
(207) 834-3155
(207) 834-2949
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
36151
ME
282N00000X
General Acute Care Hospital
36943
ME
282N00000X
General Acute Care Hospital
37310
ME
282NC0060X
Critical Access Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000065
ANTHEM BCBS PROVIDER #
ME
05
—
999020397
—
ME
Enumeration date
05/27/2005
Last updated
12/04/2024
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