Healthcare Provider Details

I. General information

NPI: 1851423008
Provider Name (Legal Business Name): EASTERN MAINE HEALTHCARE SYSTEMS INLAND HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2007
Last Update Date: 06/04/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

344 LAKEWOOD RD
MADISON ME
04950-3015
US

IV. Provider business mailing address

PO BOX 756
SKOWHEGAN ME
04976-0756
US

V. Phone/Fax

Practice location:
  • Phone: 207-474-2994
  • Fax: 207-858-0201
Mailing address:
  • Phone: 207-474-2994
  • Fax: 207-858-0201

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MS. BETSY ABBOTT
Title or Position: BILLING MANAGER
Credential:
Phone: 207-861-3338