Organization
MAINE COAST REGIONAL HEALTH FACILITIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES D THERRIEN (CEO/PRESIDENT)
(207) 664-5301
Entity
Organization
Contact information
Practice address
50 UNION ST, ELLSWORTH, ME 04605-1534
(207) 664-5304
(207) 664-5305
Mailing address
50 UNION ST, ELLSWORTH, ME 04605-1534
(207) 664-5304
(207) 664-5305
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
04/22/2015
Last updated
04/22/2015
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