KATAHDIN VALLEY HEALTH CENTER (NPI# 1528422599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528422599 |
| Entity Type | Organization |
| Organization Name | KATAHDIN VALLEY HEALTH CENTER |
| Practice Address |
30 Houlton St Patten ME 04765 |
| 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 | 2016-04-06 |
| 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 | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| 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 |
| 1457421307 | Katahdin Valley Health Center | Clinic/Center | 1300 Crystal Road, Island Falls, ME 04747 | 2006-11-08 |
| 1669450524 | Katahdin Valley Health Center | Clinic/Center | 30 Houlton St, Patten, ME 04765-3035 | 2006-01-02 |
| Street Address |
30 HOULTON ST |
| City | PATTEN |
| State | ME |
| Zip Code | 04765 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669450524 | Katahdin Valley Health Center | Clinic/Center | 30 Houlton St, Patten, ME 04765-3035 | 2006-01-02 |
| 1043793490 | Beth Anne Martin | Social Worker | 30 Houlton St, Patten, ME 04765-3035 | 2018-09-12 |
| 1467964205 | Jessica Glant | Physician Assistant | 30 Houlton St, Patten, ME 04765-3035 | 2017-11-02 |
| 1548770282 | Morgan Abdul-korah | Dentist | 30 Houlton St, Patten, ME 04765-3035 | 2017-10-09 |
| 1427596170 | Cynthia Qualey | Dental Hygienist | 30 Houlton St, Patten, ME 04765-3035 | 2017-02-02 |
| 1164979134 | Jodi Deabay | Licensed Practical Nurse | 30 Houlton St, Patten, ME 04765 | 2016-09-07 |
| 1184075582 | Nikki Brownlee | Registered Nurse | 30 Houlton St, Patten, ME 04765-3035 | 2016-06-27 |
| 1376907360 | Katahdin Valley Health Center | Clinic/Center | 30 Houlton St, Patten, ME 04765 | 2016-04-06 |
| 1922469378 | Tasha Dwyer | Student in an Organized Health Care Education/Training Program | 30 Houlton St, Patten, ME 04765 | 2016-03-14 |
| 1821461393 | Tammy Wyman | Student in an Organized Health Care Education/Training Program | 30 Houlton St, Patten, ME 04765-0500 | 2015-11-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285043869 | Angela Anderson | Registered Nurse | 30 Houlton St., Patten, ME 04765 | 2014-08-07 |
| 1649404609 | Randall S Roberts | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 52 Gardner Street, Apt A, Patten, ME 04765 | 2009-05-06 |
| 1386878346 | Kimberly Iverne Rodriguez | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 52 Gardiner Street, Patten, ME 04765 | 2009-05-06 |
| 1528260783 | Town of Patten | Ambulance | 27 Dearborn St., Patten, ME 04765 | 2007-06-01 |
| 1700941333 | Green Valley Association | Day Training, Developmentally Disabled Services | 69 David St, Island Falls, ME 04765 | 2006-12-26 |
| 1518022151 | Green Valley Association | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 13 Gardner Street, Patten, ME 04765 | 2006-12-26 |
| 1639230113 | Chandler Bay Group, Inc | Skilled Nursing Facility | 83 Houlton Road, Patten, ME 04765 | 2006-12-12 |
| 1811917545 | Denise M Marquis | Nurse's Aide | 30 Houlton Street, Patten, ME 04765 | 2006-07-19 |
| 1609824747 | Ronald I Blum | Specialist | 17 Founders Street, Patten, ME 04765 | 2006-05-04 |
| 1699770222 | Rose M Fuchs | Family Medicine | 17 Founders St, Patten, ME 04765 | 2005-06-20 |
| Find all providers in zip 04765 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932721230 | Eric Edward Morse | Pharmacy | Wilsens Drug Store, 114 Front St, Bath, ME 04530 | 2020-05-11 |
| 1124687538 | Rx Associates LLC | Pharmacy | 711 Broadway Ste 1, Bangor, ME 04401-3225 | 2019-06-10 |
| 1366916025 | Waterville Pharmacy | Pharmacy | 20 Concourse W, Waterville, ME 04901 | 2019-01-16 |
| 1871076117 | Aroostook Apothecary LLC | Pharmacy | 73 Presque Isle Road, Ashland, ME 04732 | 2018-09-12 |
| 1518481134 | Aroostook Pharmacy Inc. | Pharmacy | 182 Market St Ste 2, Fort Kent, ME 04743-1514 | 2017-07-26 |
| 1487067997 | Seaside Pharmacy | Pharmacy | 59 School Street, Stonington, ME 04681 | 2014-06-03 |
| 1609216498 | Dirigo Drug LLC | Pharmacy | 1144 Main Street, Clinton, ME 04927 | 2013-06-26 |
| 1790077477 | Bedard Pharmacy, Inc. | Pharmacy | 359 Minot Ave Ste B, Auburn, ME 04210-4329 | 2011-05-12 |
| 1255648689 | Jensen's Pharmacy | Pharmacy | 91 Camden St Ste 105, Rockland, ME 04841-2421 | 2010-09-07 |
| 1780913111 | M Drug LLC | Pharmacy | 33 Whiting Hill Rd Ste 4, Brewer, ME 04412-1022 | 2009-12-14 |
| Find all providers with the same taxonomy | ||||
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| 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.