Organization
FISH RIVER RURAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER PELLETIER (EXECUTIVE DIRECTOR)
(207) 444-5973
Entity
Organization
Contact information
Practice address
12 BOLDUC AVE, FORT KENT, ME 04743-1602
(207) 834-3012
(207) 834-2412
Mailing address
PO BOX 309, EAGLE LAKE, ME 04739-0309
(207) 444-5973
(207) 444-5520
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
08/19/2015
Last updated
08/19/2015
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