Dfd Russell Medical Center INC

NPI #1528377454 in Monmouth, Maine

Provider Information

NPI Number
1528377454
Entity Type
Organization
Organization Name
Dfd Russell Medical Center INC
Subpart
Yes (part of a larger organization)
Parent Organization
DFD RUSSELL MEDICA CENTER INC
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Sep 27, 2010
Last Updated
Feb 9, 2024

Practice Location

Address
11 ACADEMY RD
State
Maine
ZIP Code
04259-7035
Phone
(207) 933-9646

Authorized Official

Name
LAURIE A KANE-LEWIS
Title
CEO
Phone
(207) 524-3501

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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