Organization
ST CROIX REGIONAL FAMILY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL FARRELL DC (CEO)
(207) 796-5503
Entity
Organization
Contact information
Practice address
136 MILL ST, PRINCETON, ME 04668-3344
(207) 796-5503
(207) 796-5528
Mailing address
136 MILL ST, PRINCETON, ME 04668-3344
(207) 796-5503
(207) 796-5528
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123350000
—
ME
Enumeration date
12/14/2005
Last updated
03/04/2025
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