MEDICARE: TOWN OF NORTH HAVEN

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
1	261QC1500X	Community Health Clinic/Center

General Provider Information

NPI Number	:	1306922281
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOWN OF NORTH HAVEN

Provider Business Mailing Address
First Line	:	16 TOWN OFFICE SQ.
Second Line	:	PO BOX 400
City	:	NORTH HAVEN
State	:	ME
Zip	:	04853-0400
Country	:	US
Telephone Number	:	207-867-4433
Fax Number	:	207-867-2207

Provider Business Practice Location Address
First Line	:	135 MAIN ST.
Second Line	:
City	:	NORTH HAVEN
State	:	ME
Zip	:	04853
Country	:	US
Telephone Number	:	207-867-2021
Fax Number	:

Authorized Official
Title or Position	:	CLINIC ADMINISTRATOR
Name	:	PATRICIA S. CURTIS
Credential	:
Telephone Number	:	207-867-4433

Provider Enumeration Date	:	10/31/2006
Last Update Date	:	08/22/2020

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Directions to “TOWN OF NORTH HAVEN ” Practice Location

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