Dfd Russell Medical Center INC

NPI #1952482804 in Leeds, Maine

Provider Information

NPI Number: 1952482804
Entity Type: Organization
Organization Name: Dfd Russell Medical Center INC
Primary Specialty: Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date: Oct 18, 2006
Last Updated: Feb 9, 2024

Practice Location

Address: 180 CHURCH HILL RD
Address 2: SUITE 1
City: Leeds
State: Maine
ZIP Code: 04263-3418
Phone: (207) 524-3501

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC)	261QF0400X	Primary

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