MEDICARE: DOWN EAST COMMUNITY HOSPITAL

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	367500000X	Certified Registered Nurse Anesthetist	33527MA	ME

General Provider Information

NPI Number	:	1700883139
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DOWN EAST COMMUNITY HOSPITAL

Provider Business Mailing Address
First Line	:	11 HOSPITAL DRIVE
Second Line	:
City	:	MACHIAS
State	:	ME
Zip	:	04654-9758
Country	:	US
Telephone Number	:	207-255-3356
Fax Number	:

Provider Business Practice Location Address
First Line	:	RR 1 BOX 11
Second Line	:
City	:	MACHIAS
State	:	ME
Zip	:	04654-9758
Country	:	US
Telephone Number	:	207-255-3356
Fax Number	:

Authorized Official
Title or Position	:	PFS DIRECTOR
Name	:	VICKI BROWN
Credential	:
Telephone Number	:	207-255-0460

Provider Enumeration Date	:	06/30/2005
Last Update Date	:	10/27/2008

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Directions to “DOWN EAST COMMUNITY HOSPITAL ” Practice Location

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