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NPI Code Detail

MEDICARE: CALAIS REGIONAL HOSPITAL HOME HEALTH AGENCY

MEDICARE: CALAIS REGIONAL HOSPITAL HOME HEALTH AGENCY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency02708ME

General Provider Information

NPI Number : 1093713547
Entity Type Code : Organization
Provider Name (Legal Business Name) : CALAIS REGIONAL HOSPITAL HOME HEALTH AGENCY
Provider Business Mailing Address
First Line : 24 HOSPITAL LN
Second Line :
City : CALAIS
State : ME
Zip : 04619-1329
Country : US
Telephone Number : 207-454-7200
Fax Number : 207-454-7288
Provider Business Practice Location Address
First Line : 43 PALMER ST
Second Line : STE 1
City : CALAIS
State : ME
Zip : 04619-1305
Country : US
Telephone Number : 207-454-7200
Fax Number : 207-454-7288
Authorized Official
Title or Position : CEO
Name : RAY H DAVIS
Credential :
Telephone Number : 207-454-7521
Provider Enumeration Date : 07/08/2005
Last Update Date : 08/22/2020

Similar Medicare Providers

1578594818 — PETER SCOTT WILKINSON D.O.
Practice Location Address:
37 PALMER ST STE 2
CALAIS, ME
04619-1305
Practice Phone: 207-454-8233
Practice Fax:
1124124904 — CHRISTOPHER G SCALABRIN ARNP
Practice Location Address:
37 PALMER ST
CALAIS, ME
04619-1305
Practice Phone: 207-454-8195
Practice Fax: 207-454-3840
1003902271 — ANN P SIMMONS MD
Practice Location Address:
37 PALMER ST
CALAIS, ME
04619-1305
Practice Phone: 207-454-8195
Practice Fax: 207-454-3840
1093801102 — DAVID J SIMMONS MD
Practice Location Address:
37 PALMER ST
CALAIS, ME
04619-1305
Practice Phone: 207-454-8195
Practice Fax: 207-454-3840
1679669725 — ANNE C PERRY FNP
Practice Location Address:
37 PALMER ST
CALAIS, ME
04619-1305
Practice Phone: 207-454-8195
Practice Fax: 207-454-2840
1326134297 — CARLOS A AHUMADA MD
Practice Location Address:
37 PALMER ST
CALAIS, ME
04619-1305
Practice Phone: 207-454-8195
Practice Fax: 207-454-3840

Directions to “CALAIS REGIONAL HOSPITAL HOME HEALTH AGENCY ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.