Healthcare Provider Details

I. General information

NPI: 1306922281
Provider Name (Legal Business Name): TOWN OF NORTH HAVEN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/31/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

135 MAIN ST.
NORTH HAVEN ME
04853
US

IV. Provider business mailing address

16 TOWN OFFICE SQ. PO BOX 400
NORTH HAVEN ME
04853-0400
US

V. Phone/Fax

Practice location:
  • Phone: 207-867-2021
  • Fax:
Mailing address:
  • Phone: 207-867-4433
  • Fax: 207-867-2207

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: PATRICIA S. CURTIS
Title or Position: CLINIC ADMINISTRATOR
Credential:
Phone: 207-867-4433