Organization
H. D. GOODALL HOSPITAL INC.
Active
Parent organization
H. D. GOODALL HOSPITAL
Other names
Pavilion
Organization subpart
Yes
Provider details
NPI number
Legal business name
H. D. GOODALL HOSPITAL
Authorized official
MR. RON BRYANT (CHIEF FINANCIAL OFFICER)
(207) 324-4310
Entity
Organization
Contact information
Practice address
25 JUNE ST, SANFORD, ME 04073-2621
(207) 324-4310
Mailing address
25 JUNE ST, SANFORD, ME 04073-2621
(207) 324-4310
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
2264
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101480202
—
ME
Enumeration date
04/28/2009
Last updated
04/28/2009
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