Healthcare Provider Details

I. General information

NPI: 1437348794
Provider Name (Legal Business Name): OXFORD HILLS INTERNAL MEDICINE GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2007
Last Update Date: 10/23/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

193 MAIN ST SUITE 1
NORWAY ME
04268-5645
US

IV. Provider business mailing address

193 MAIN ST SUITE 1
NORWAY ME
04268-5645
US

V. Phone/Fax

Practice location:
  • Phone: 207-743-7721
  • Fax: 207-743-6306
Mailing address:
  • Phone: 207-743-7721
  • Fax: 207-743-6306

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number StateME

VIII. Authorized Official

Name: MARY F LONGSTAFF
Title or Position: OFFFICE MANAGER
Credential:
Phone: 207-743-7721