MEDICARE: REGIONAL MEDICAL CENTER AT LUBEC

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	261QF0400X	Federally Qualified Health Center (FQHC)

General Provider Information

NPI Number	:	1770058638
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REGIONAL MEDICAL CENTER AT LUBEC

Provider Business Mailing Address
First Line	:	43 S LUBEC RD
Second Line	:
City	:	LUBEC
State	:	ME
Zip	:	04652-3620
Country	:	US
Telephone Number	:	207-733-5541
Fax Number	:

Provider Business Practice Location Address
First Line	:	44 SOUTH ST
Second Line	:
City	:	LUBEC
State	:	ME
Zip	:	04652-4002
Country	:	US
Telephone Number	:	207-733-5541
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MARILYN F HUGHES
Credential	:
Telephone Number	:	207-733-1090

Provider Enumeration Date	:	10/08/2018
Last Update Date	:	06/29/2021

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Directions to “REGIONAL MEDICAL CENTER AT LUBEC ” Practice Location

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