Organization
NORTHERN MAINE MEDICAL CENTER
Active
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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