Organization
MAINE COAST PHYSICIAN AFFILIATES
Active
Other names
Maine Coast Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN SEDGWICK (CHIEF FINANCIAL OFFICER)
(207) 664-5497
Entity
Organization
Contact information
Practice address
50 UNION ST, ELLSWORTH, ME 04605-1586
(207) 664-5497
Mailing address
50 UNION ST, ELLSWORTH, ME 04605-1586
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1061763
ME
332BC3200X
Customized Equipment (DME)
1061763
ME
335E00000X
Prosthetic/Orthotic Supplier
1061763
ME
Other
Enumeration date
05/17/2006
Last updated
01/23/2009
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