Organization
SEAPORT FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAREN SUE STEARNS (OFFICE MANAGER)
(207) 338-6900
Entity
Organization
Contact information
Practice address
41 WIGHT ST, BELFAST, ME 04915-6054
(207) 338-6900
(207) 338-4976
Mailing address
41 WIGHT ST, BELFAST, ME 04915-6054
(207) 338-6900
(207) 338-4976
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117690100
—
ME
Enumeration date
04/11/2007
Last updated
06/29/2011
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