Organization
WESTERN MAINE COMMUNITY ACTION
Active
Other names
Lewiston STD Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JUDITH GERRY (DIRECTOR OF FINANCE & ADMINISTRATIO)
(207) 645-3760
Entity
Organization
Contact information
Practice address
179 LISBON ST, LEWISTON, ME 04240-7248
(207) 795-4007
(207) 795-4084
Mailing address
179 LISBON ST, LEWISTON, ME 04240-7248
(207) 795-4007
(207) 795-4084
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103700001
—
ME
Enumeration date
04/28/2010
Last updated
04/28/2010
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