Organization
COASTAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN H NIGHTINGALE MD (MD)
(207) 667-2422
Entity
Organization
Contact information
Practice address
37 COMMERCE PARK, ELLSWORTH, ME 04605-3383
(207) 667-2422
(207) 667-0135
Mailing address
37 COMMERCE PARK, ELLSWORTH, ME 04605-3383
(207) 667-2422
(207) 667-0135
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
013394
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124610000
—
ME
Enumeration date
02/17/2011
Last updated
04/30/2015
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