PINES HEALTH SERVICES NPI 1629393327

NPI Information

  • NPI: 1629393327
  • Provider Name: PINES HEALTH SERVICES
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: ST JOHN VALLEY HEALTH CENTER
  • Address: 4 MAIN ST
    VAN BUREN, ME
    ZIP 04785
  • Phone: (207) 868-2796

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NPI Details

PINES HEALTH SERVICES is a family medicine in Van Buren, ME. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PINES HEALTH SERVICES NPI is 1629393327. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As St John Valley Health Center.

The provider's business location address is:

4 MAIN ST
VAN BUREN, ME
ZIP 04785-009
Phone: (207) 868-2796
Fax: (207) 868-2799

The provider's authorized official is Lisa M Caron .
The authorized official title is Coo and has the following contact phone number (207) 498-2356.

The enumeration date for this NPI number is 4/6/2010 and was last updated on 8/27/2013.

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
11041C0700XSocial WorkerClinicalNo
2207R00000XInternal MedicineNo
3207V00000XObstetrics & GynecologyNo
4363A00000XPhysician AssistantNo
5363LF0000XNurse PractitionerFamilyNo
6261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)No
7207Q00000XFamily MedicineYes

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
1201866MEDICARE OSCAR/CERTIFICATIONMAINE

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: 11/21/2025

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