MAINE MOBILE HEALTH PROGRAM INC. NPI 1376829598

NPI Information

MAINE MOBILE HEALTH PROGRAM, INC. is a federally qualified health center (fqhc) clinic center in Augusta, ME. MAINE MOBILE HEALTH PROGRAM, INC. NPI is 1376829598. The provider is registered as an organization entity type.

The provider's business location address is:

9 GREEN ST
SUITE 220
AUGUSTA, ME
ZIP 04330-451
Phone: (207) 622-9252
Fax: (207) 626-7612

The provider's authorized official is Carol Murphy .
The authorized official title is Executive Director and has the following contact phone number (207) 622-9252.

The CLIA number assigned to this NPI record is 20D1050279 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/2/2011 and was last updated on 4/13/2023.

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:

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