| NPI | 1275646150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOB PETERSON CEO 207-723-5161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NC0060X General Acute Care Hospital, Critical Access (Licence: ME 36324) |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2020-05-29 |