Healthcare Provider Details

I. General information

NPI: 1851397475
Provider Name (Legal Business Name): DOWN EAST COMMUNITY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/28/2005
Last Update Date: 07/26/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 SCHOOL ST
MILBRIDGE ME
04658-0005
US

IV. Provider business mailing address

11 HOSPITAL DR
MACHIAS ME
04654-3325
US

V. Phone/Fax

Practice location:
  • Phone: 207-546-2391
  • Fax:
Mailing address:
  • Phone: 207-546-2391
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number007244
License Number StateME
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number007244
License Number StateME

VIII. Authorized Official

Name: VICKI BROWN
Title or Position: PFS DIRECTOR
Credential:
Phone: 207-255-0460