Organization
NORTHERN MAINE MEDICAL CENTER
Active
Other names
Fort Kent Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY ZEWE (CEO)
(207) 834-1411
Entity
Organization
Contact information
Practice address
194 E MAIN ST, FORT KENT, ME 04743
(207) 834-6140
Mailing address
194 E MAIN ST, FORT KENT, ME 04743
(207) 834-5877
(207) 834-2522
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
208D00000X
General Practice Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165800100
—
ME
Enumeration date
01/17/2006
Last updated
04/08/2024
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