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Organization

MILES MEMORIAL HOSPITAL, INC.

Active
Parent organization
MILES MEMORIAL HOSPITAL, INC.
Other names
Miles Pediatrics
Organization subpart
Yes

Provider details

NPI number
Legal business name
MILES MEMORIAL HOSPITAL, INC.
Authorized official
STACEY A MILLER (VP PHYSICIAN SERVICES)
(207) 563-4383
Entity
Organization

Contact information

Practice address
79 SCHOONER ST UNIT 2, DAMARISCOTTA, ME 04543-4051
(207) 563-4780
(207) 563-4713
Mailing address
PO BOX 745, NEWCASTLE, ME 04553-0745
(207) 563-4780
(207) 563-4713

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
11/24/2006
Last updated
07/24/2008
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