CHARLES A. DEAN MEMORIAL HOSPITAL NPI 1265441323

NPI Information

NPI: 1265441323
Provider Name: CHARLES A. DEAN MEMORIAL HOSPITAL

Doing Business As: NORTHERN LIGHT C.A. DEAN HOSPITAL

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
364 PRITHAM AVE
GREENVILLE, ME
ZIP 04441
Phone: (207) 695-5220
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CHARLES A. DEAN MEMORIAL HOSPITAL is a rural health clinic center in Greenville, ME. CHARLES A. DEAN MEMORIAL HOSPITAL NPI is 1265441323. The provider is registered as an organization entity type.
The provider Is Doing Business As Northern Light C.a. Dean Hospital.

The provider's business location address is:

364 PRITHAM AVE
GREENVILLE, ME
ZIP 04441
Phone: (207) 695-5220

The provider's authorized official is Eugene Murray .
The authorized official title is President And Ceo and has the following contact phone number (207) 695-5271.

The CLIA number assigned to this NPI record is 20D0928589 - hospital with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 8/7/2006 and was last updated on 8/11/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR1300X	Clinic/Center	Rural Health	36400	MAINE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	153970200	MEDICAID	MAINE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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