Organization
TOWN OF ISLESBORO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANET ANDERSON (ADMINISTRATOR)
(207) 734-2253
Entity
Organization
Contact information
Practice address
150 MAIN ROAD, ISLESBORO, ME 04848-0137
(207) 734-2213
(207) 734-8392
Mailing address
PO BOX 137, ISLESBORO, ME 04848-0137
(207) 734-2213
(207) 734-8392
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
203825
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136700100
—
ME
Enumeration date
01/19/2007
Last updated
03/03/2015
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