TOWN OF KENNEBUNKPORT MAINE NPI 1174641047

NPI Information

TOWN OF KENNEBUNKPORT MAINE is a community health registered nurse in Kennebunkport, ME. TOWN OF KENNEBUNKPORT MAINE NPI is 1174641047. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Kennebunkport Public Health Department.

The provider's business location address is:

101 MAIN STREET
POLICE COMMUNICATIONS PUBLIC HEALTH COMPLEX
KENNEBUNKPORT, ME
ZIP 04046
Phone: (207) 967-4401
Fax: (207) 967-3633

The provider's authorized official is Judith A Barrett .
The authorized official title is Kennebunkport Public Health Adminis and has the following contact phone number (207) 967-4401.

The CLIA number assigned to this NPI record is 20D2194458 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/27/2007 and was last updated on 7/28/2008.

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:

Other Identifiers

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

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