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NPI Code Detail

MEDICARE: GORHAM HEALTH CARE INC

MEDICARE: GORHAM HEALTH CARE INC
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
1314000000XSkilled Nursing Facility

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1184615320
Entity Type Code : Organization
Provider Name (Legal Business Name) : GORHAM HEALTH CARE INC
Provider Business Mailing Address
First Line : 250 GODDARD RD
Second Line : SUITE A
City : LEWISTON
State : ME
Zip : 04240-1000
Country : US
Telephone Number : 207-782-4797
Fax Number : 207-777-3996
Provider Business Practice Location Address
First Line : 50 NEW PORTLAND RD
Second Line :
City : GORHAM
State : ME
Zip : 04038-1542
Country : US
Telephone Number : 207-839-5757
Fax Number : 207-839-8263
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICE
Name : MS. SHERYL A BRADLEY
Credential :
Telephone Number : 207-782-4797
Provider Enumeration Date : 11/04/2005
Last Update Date : 09/09/2013

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Directions to “GORHAM HEALTH CARE INC ” Practice Location

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