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Organization

DFD RUSSELL MEDICAL CENTER INC

Active
Parent organization
DFD RUSSELL MEDICAL CENTER INC
Organization subpart
Yes

Provider details

NPI number
Legal business name
DFD RUSSELL MEDICAL CENTER INC
Authorized official
LAURIE A KANE-LEWIS (CEO)
(207) 524-3501
Entity
Organization

Contact information

Practice address
7 MAIN ST, TURNER, ME 04282-4138
(207) 225-2676
(207) 225-2692
Mailing address
180 CHURCH HILL RD, STE 1, LEEDS, ME 04263-3418
(207) 524-3501
(207) 524-2459

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
168270000
ME
Enumeration date
09/27/2010
Last updated
02/09/2024
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