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Katahdin Valley Health Center

Pharmacy, Community/Retail Pharmacy in Dover Foxcroft, ME. Organization (NPI-2).

NPI number1194428656
StatusActive
Last updated in NPPESApr 29, 2023

Details

NPI
1194428656
Entity type
Organization (NPI-2)
Legal business name
Katahdin Valley Health Center
Organization subpart
No
Enumeration date
Mar 23, 2023
Certification date
Apr 29, 2023
Last updated
Apr 29, 2023

Medicare and OIG

Medicare enrolled (PECOS)
Yes · DME SUPPLIER - PHARMACY
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail Pharmacy––Yes

Practice location

188 Summer St Ste A
Dover Foxcroft, ME 04426-1129

Phone 207-528-2285 · Fax 207-528-2880

Mailing address

529 S Patten Rd
Patten, ME 04765-3007

Phone 207-528-2285 · Fax 207-528-2880

Authorized official

Claudette Humphrey
Ceo
2075282285

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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