Healthcare Provider Details

I. General information

NPI: 1679816656
Provider Name (Legal Business Name): FAMILY PLANNING ASSOCIATION OF MAINE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2013
Last Update Date: 07/29/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

147 WALDO AVE
BELFAST ME
04915-6922
US

IV. Provider business mailing address

PO BOX 587
AUGUSTA ME
04332-0587
US

V. Phone/Fax

Practice location:
  • Phone: 207-338-3736
  • Fax: 207-338-0704
Mailing address:
  • Phone: 207-248-3927
  • Fax: 207-622-0836

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QF0050X
TaxonomyNon-Surgical Family Planning Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: GEORGE A HILL
Title or Position: CEO
Credential:
Phone: 207-248-3927