Healthcare Provider Details
I. General information
NPI: 1386601524
Provider Name (Legal Business Name): HOULTON REGIONAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/01/2006
Last Update Date: 08/21/2025
Certification Date: 08/21/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
22 HARTFORD ST
HOULTON ME
04730-1898
US
IV. Provider business mailing address
20 HARTFORD ST
HOULTON ME
04730-1891
US
V. Phone/Fax
- Phone: 207-532-3289
- Fax: 207-532-6071
- Phone: 207-532-3289
- Fax: 207-532-6071
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QR1300X |
| Taxonomy | Rural Health Clinic/Center |
| License Number | |
| License Number State | ME |
VIII. Authorized Official
Name: MR.
JEFF
ZEWE
Title or Position: CEO
Credential:
Phone: 207-521-2152