KATAHDIN VALLEY HEALTH CENTER (NPI# 1457421307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457421307 |
| Entity Type | Organization |
| Organization Name | KATAHDIN VALLEY HEALTH CENTER |
| Practice Address |
1300 Crystal Road Island Falls ME 04747 |
| Mailing Address |
529 S Patten Rd Patten ME 04765-3007 |
| Practice Telephone | 2075282285 |
| Practice Fax Number | 2075282880 |
| Mailing Telephone | 2075282285 |
| Mailing Fax Number | 2075282880 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2016-12-20 |
| Authorized Official Name | CLAUDETTE G HUMPHREY (CEO) |
| Authorized Official Telephone | 2075282285 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 168260101 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184165367 | Katahdin Valley Health Center | Clinic/Center | 65 South St, Houlton, ME 04730-1550 | 2017-03-20 |
| 1669913919 | Katahdin Valley Health Center | Clinic/Center | 48 Penquis Dr, Milo, ME 04463-1033 | 2017-03-19 |
| 1417407107 | Katahdin Valley Health Center | Clinic/Center | 800 Station Rd, Stacyville, ME 04777-4121 | 2016-10-06 |
| 1053787721 | Katahdin Valley Health Center | Clinic/Center | 180 Main Rd, Brownville, ME 04414-3107 | 2015-08-18 |
| 1962833624 | Katahdin Valley Health Center | Clinic/Center | 33 Walker St, Ashland, ME 04732-3429 | 2013-12-06 |
| 1023290020 | Katahdin Valley Health Center | Clinic/Center | 147 Hodgdon Mills Rd, Hodgdon, ME 04730-4277 | 2007-11-30 |
| 1942482948 | Katahdin Valley Health Center | Clinic/Center | 174 Hodgdon Mills Rd, Hodgdon, ME 04730-4278 | 2007-11-30 |
| 1801092515 | Katahdin Valley Health Center | Clinic/Center | 15 Hartford St, Houlton, ME 04730-1823 | 2007-06-21 |
| 1669450524 | Katahdin Valley Health Center | Clinic/Center | 30 Houlton St, Patten, ME 04765-3035 | 2006-01-02 |
| 1285156166 | Katahdin Valley Health Center | Pharmacy | 50 Summer St, Millinocket, ME 04462-1400 | 2017-07-12 |
| Street Address |
1300 CRYSTAL ROAD |
| City | ISLAND FALLS |
| State | ME |
| Zip Code | 04747 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982957544 | Nancy L Williams | Speech-Language Pathologist | 922 Dyerbrook Rd, Southern Aroostook Community School Rsu 50, Dyerbrook, ME 04747 | 2012-10-19 |
| 1477577039 | Town of Island Falls | Ambulance | 61 Houlton Street, Island Falls, ME 04747 | 2006-07-27 |
| 1932431871 | Sharon R Walker | Registered Nurse | 1300 Crystal Rd, Island Falls, ME 04747-0013 | 2010-02-03 |
| 1407904956 | Green Valley Association | Community/Behavioral Health | 69 David Street, Island Falls, ME 04747-0127 | 2007-01-08 |
| 1144378795 | Green Valley Association | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 13 Sewall Street, Island Falls, ME 04747-0127 | 2007-01-08 |
| 1306994892 | Green Valley Association | Day Training, Developmentally Disabled Services | 69 David St, Island Falls, ME 04747-0127 | 2007-01-08 |
| 1598706970 | Lisa Nielsen | Family Medicine | 1300 Crystal Rd, Island Falls, ME 04747-4369 | 2006-06-09 |
| 1295013365 | Nicki J Larrabee | Nurse Practitioner | 1300 Crystal Rd, Island Falls, ME 04747-4369 | 2011-07-23 |
| 1598994972 | Martha M Coursey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 867 Sherman St, Island Falls, ME 04747-4413 | 2009-07-07 |
| 1083040703 | Grace L. Grant | Counselor | 66 Sherman St, Island Falls, ME 04747-4415 | 2013-09-26 |
| Find all providers in zip 04747 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023621273 | Sebasticook Family Doctors | Clinic/Center | 291 Williams Road, Newport, ME 04953 | 2020-08-27 |
| 1295386316 | Community Clinical Services, Inc | Clinic/Center | 1250 Turner St, Auburn, ME 04210-6436 | 2019-09-20 |
| 1679047872 | Portland Community Health Center | Clinic/Center | 52 Frederic St, Portland, ME 04102-2700 | 2019-01-22 |
| 1043783822 | Portland Community Health Center | Clinic/Center | 72 Bishop St, Portland, ME 04102-2957 | 2019-01-04 |
| 1770056558 | Portland Community Health Center | Clinic/Center | 190 Valley Street, Portland, ME 04102-2957 | 2019-01-04 |
| 1760973960 | Penobscot Community Health Center | Clinic/Center | 1012 Union St Ste 3, Bangor, ME 04401-3058 | 2018-05-23 |
| 1700317971 | Portland Community Health Center | Clinic/Center | 28 Portland St, Portland, ME 04101-2912 | 2017-03-21 |
| 1184165367 | Katahdin Valley Health Center | Clinic/Center | 65 South St, Houlton, ME 04730-1550 | 2017-03-20 |
| 1255872537 | Portland Community Health Center | Clinic/Center | 175 Auburn St, Portland, ME 04103-2131 | 2017-03-20 |
| 1881135192 | Portland Community Health Center | Clinic/Center | 353 Cumberland Avenue, Cliff Island, ME 04109-0008 | 2017-03-20 |
| Find all providers with the same taxonomy | ||||
| City | ISLAND FALLS |
| Zip Code | 04747 |
Please comment or provide details below to improve the information on KATAHDIN VALLEY HEALTH CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.