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General NPI Number Information
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NPI Number | 1376546143
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Entity Type | Organization
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Legal Business Name | CALAIS COMMUNITY HOSPITAL
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Dates
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Enumeration Date | 05/24/2005
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Last Update Date | 07/30/2021
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Provider Practice Location Address
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Address Line | 24 HOSPITAL LN
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City | CALAIS
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State | ME
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Zip | 04619-1329
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Country | US
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Telephone | 207-454-7521
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Fax | 207-454-3616
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Provider Business Mailing Address
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Address Line | 24 HOSPITAL LN
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City | CALAIS
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State | ME
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Zip | 04619-1329
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Country | US
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Telephone | 207-454-7521
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Fax | 207-454-3616
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Authorized Official
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Title or Position | CFO
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Name | LYNNETTE PARR
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Credential |
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Telephone | 207-255-0269
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 275N00000X
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Taxonomy Name | Medicare Defined Swing Bed Hospital Unit
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License Number | 36210
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License Number State | ME
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