BREWER HEALTH CENTER PA NPI 1487842019

NPI Information

BREWER HEALTH CENTER PA is a clinic center in Brewer, ME. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). BREWER HEALTH CENTER PA NPI is 1487842019. The provider is registered as an organization entity type.

The provider's business location address is:

401 S MAIN ST
BREWER, ME
ZIP 04412-322
Phone: (207) 989-5588
Fax: (207) 989-1599

The provider's authorized official is Gary M Ross .
The authorized official title is Owner and has the following contact phone number (207) 989-5588.

The CLIA number assigned to this NPI record is 20D1049172 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/9/2007 and was last updated on 11/26/2014.

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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