Organization
MAINE COAST REGIONAL HEALTH FACILITIES
Active
Other names
Northern Light Maine Coast Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN RONAN FACHE (PRESIDENT)
(207) 664-5301
Entity
Organization
Contact information
Practice address
50 UNION ST, ELLSWORTH, ME 04605-1586
(207) 664-5311
(207) 664-5305
Mailing address
50 UNION ST, ELLSWORTH, ME 04605-1586
(207) 664-5311
(207) 664-5305
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
36279
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101630000
—
ME
Enumeration date
03/20/2006
Last updated
09/25/2018
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