SEBASTICOOK VALLEY FAMILY PRACTICE ASSOCIATION (NPI# 1568780823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568780823 |
| Entity Type | Organization |
| Organization Name | SEBASTICOOK VALLEY FAMILY PRACTICE ASSOCIATION |
| Practice Address |
1573 Main St Palmyra ME 04965-3236 |
| Mailing Address |
447 N Main St Pittsfield ME 04967-3707 |
| Practice Telephone | 2074874021 |
| Practice Fax Number | 2074874021 |
| Mailing Telephone | 2074874021 |
| Mailing Fax Number | 2074874021 |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2010-05-26 |
| Authorized Official Name | RANDALL CLARK (VP OF FINANCE) |
| Authorized Official Telephone | 2074874022 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Street Address |
1573 MAIN ST |
| City | PALMYRA |
| State | ME |
| Zip Code | 04965-3236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902823271 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1573 Main St, Palmyra, ME 04965-3236 | 2006-07-16 |
| 1487140760 | Ryan C Frost | Pharmacist | 1573 Main St, Palmyra, ME 04965-3236 | 2018-07-10 |
| 1427544014 | Lance Carter Richmond Jr. | Pharmacist | 1573 Main St, Palmyra, ME 04965-3236 | 2018-07-06 |
| 1295221893 | Thomas Manley Gekeler | Pharmacist | 1573 Main St, Palmyra, ME 04965-3236 | 2018-07-06 |
| 1265748719 | Sebasticook Valley Health Convenient Care LLC | Clinic/Center | 1573 Main St, Palmyra, ME 04965-3236 | 2010-08-23 |
| 1124333661 | Elizabeth Amalia Ross | Nurse Practitioner | 1573 Main St, Palmyra, ME 04965-3236 | 2010-08-09 |
| 1649354804 | Wal-mart Stores East, Lp | Technician/Technologist | 1573 Main St, Palmyra, ME 04965-3236 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205268299 | Miranda J Doherty | Chiropractor | 43a Oxbow Rd, Palmyra, ME 04965 | 2013-08-01 |
| 1821144775 | Gena M Tripp | Case Management | 19 Marian Drive, Palmyra, ME 04965 | 2007-01-25 |
| 1083166680 | C.a.r.e. Services | Durable Medical Equipment & Medical Supplies | 1448 Main St, Palmyra, ME 04965-3238 | 2016-10-30 |
| 1730538315 | Susan Mccaw | Community/Behavioral Health | 55 Spring Hill Rd, Palmyra, ME 04965-3625 | 2016-06-06 |
| 1013310630 | Dragonfly Academy LLC | Early Intervention Provider Agency | 4 Madawaska Rd, Palmyra, ME 04965-4032 | 2014-09-28 |
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538318050 | Newport Medical, Pllc | Clinic/Center | 221 E Main St, Palmyra, NY 14522-1127 | 2008-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710404561 | Colasante Chiropractic, LLC | Clinic/Center | 184 Webster Street, #100, Lewiston, ME 04240 | 2017-08-23 |
| 1811365513 | Sarah D. Shepherd, D.o.llc | Clinic/Center | 27 Wadlin Road, Biddeford, ME 04005 | 2015-09-11 |
| 1215359146 | Rosebush Chiropractic LLC | Clinic/Center | 980 Forest Ave Ste 102, Portland, ME 04103-3357 | 2014-01-12 |
| 1609137843 | Access Health Renewal | Clinic/Center | 174 So. Freeport Road, Suite 2a, Freeport, ME 04032 | 2012-06-05 |
| 1225321961 | Orono Med Now | Clinic/Center | 16 Mill Street, Uite 4, Orono, ME 04473 | 2011-05-26 |
| 1003083346 | Gerald M Gerrish Dc Pa | Clinic/Center | 276 State Highway 3, Bar Harbor, ME 04609-7539 | 2008-05-15 |
| 1700050390 | Maine School Administrative District #75 | Clinic/Center | 73 Eagles Way, Mt. Ararat High School, Topsham, ME 04086-1239 | 2008-04-15 |
| 1710150966 | Berwick Walk In Care | Clinic/Center | 4 Dana Dr, Berwick, ME 03901-2767 | 2008-04-09 |
| 1285762328 | City of Calais | Clinic/Center | 34 Blue Devil Hill, Calais, ME 04619 | 2007-03-01 |
| 1942336722 | Lincoln Academy School Based Healthcenter | Clinic/Center | 81 Academy Hl, Newcastle, ME 04553-3433 | 2007-02-26 |
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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.