NPI 1124090238
Northern Maine General
Practice location
- Address
- 3402 Arroostook Rd, Eagle Lake, ME 04739-0310
- Phone
- (207) 444-5152
- Mailing address
- PO Box 310, Eagle Lake, ME 04739-0310
Authorised official
- Name
- Reynold Raymond
- Title
- Chief Executive Officer
- Phone
- (207) 444-5152
Registered specialties
Skilled Nursing Facility
Primary
Registry record
- NPI
- 1124090238
- Entity type
- Organization
- NPI issued
- 2 Feb 2006
- Record last updated
- 30 Mar 2012
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.