MEDICARE: CALAIS 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	282NC0060X	Critical Access Hospital	37339	ME

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	010211783	OTHER	ME	TRICARE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	900800	OTHER	ME	HARVARD PILGRIM
4	0439887	OTHER	ME	CIGNA
5	0012304	OTHER	ME	AETNA
6	000008	OTHER	ME	ANTHEM BLUE CROSS

General Provider Information

NPI Number	:	1922001049
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CALAIS COMMUNITY HOSPITAL

Provider Business Mailing Address
First Line	:	24 HOSPITAL LN
Second Line	:
City	:	CALAIS
State	:	ME
Zip	:	04619-1329
Country	:	US
Telephone Number	:	207-454-7521
Fax Number	:	207-454-3616

Provider Business Practice Location Address
First Line	:	24 HOSPITAL LN
Second Line	:
City	:	CALAIS
State	:	ME
Zip	:	04619-1329
Country	:	US
Telephone Number	:	207-454-7521
Fax Number	:	207-454-3616

Authorized Official
Title or Position	:	CFO
Name	:	LYNETTE PARR
Credential	:
Telephone Number	:	207-454-9229

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	07/22/2021

Similar Medicare Providers

1376546143 — CALAIS COMMUNITY HOSPITAL
Practice Location Address:

24 HOSPITAL LN
CALAIS, ME
04619-1329

Practice Phone: 207-454-7521
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1073500633 — WILLIAM J. WALDRON CRNA
Practice Location Address:

24 HOSPITAL LN
CALAIS, ME
04619-1329

Practice Phone: 207-454-7521
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1215918461 — DR. ELIZABETH ELIACIN MD
Practice Location Address:

24 HOSPITAL LN
CALAIS, ME
04619-1329

Practice Phone: 207-454-9300
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1811962988 — WENDY J CRAWFORD M.D.
Practice Location Address:

24 HOSPITAL LN
CALAIS, ME
04619-1329

Practice Phone: 207-454-8432
Practice Fax: 207-454-8333

1255390753 — DAVID C BRILLIOTT CRNA
Practice Location Address:

22 HOSPITAL LN
CALAIS, ME
04619-1329

Practice Phone: 207-454-7521
Practice Fax: 207-454-3616

1801856174 — ROBERT CHARLES ROGERS CRNA
Practice Location Address:

22 HOSPITAL LN
CALAIS, ME
04619-1329

Practice Phone: 207-454-7521
Practice Fax: 207-454-3616

Directions to “CALAIS COMMUNITY HOSPITAL ” Practice Location

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