Healthcare Provider Details
I. General information
NPI: 1386842383
Provider Name (Legal Business Name): DOWNEAST HEALTH SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/11/2007
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
52 CHRISTIAN RIDGE RD
ELLSWORTH ME
04605-3210
US
IV. Provider business mailing address
PO BOX 1389 BLUE HILL
BLUE HILL ME
04614-1389
US
V. Phone/Fax
- Phone: 207-667-5304
- Fax: 207-667-5110
- Phone: 207-667-5304
- Fax: 207-667-5110
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QF0050X |
| Taxonomy | Non-Surgical Family Planning Clinic/Center |
| License Number | |
| License Number State | ME |
VIII. Authorized Official
Name: MS.
KATHERINE
MURRAY
Title or Position: WOMEN'S HEALTH NURSE PRACTITIONER
Credential: WHNP
Phone: 207-359-2737