Organization
PINES HEALTH SERVICES
Active
Parent organization
PINES HEALTH SERVICES
Other names
St John Valley Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
PINES HEALTH SERVICES
Authorized official
LISA M CARON (COO)
(207) 498-2356
Entity
Organization
Contact information
Practice address
4 MAIN ST, VAN BUREN, ME 04785-1009
(207) 868-2796
(207) 868-2799
Mailing address
74 ACCESS HWY, CARIBOU, ME 04736-3807
(207) 498-2359
(207) 498-3947
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
04/06/2010
Last updated
08/27/2013
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