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Brewer Health Center PA

Clinic/Center in Brewer, ME. Organization (NPI-2).

NPI number1487842019
StatusActive
Last updated in NPPESNov 26, 2014

Details

NPI
1487842019
Entity type
Organization (NPI-2)
Legal business name
Brewer Health Center PA
Organization subpart
No
Enumeration date
Oct 9, 2007
Last updated
Nov 26, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center1127MEYes

Practice location

401 S Main St
Brewer, ME 04412-2322

Phone 207-989-5588 · Fax 207-989-1599

Mailing address

401 S Main St
Brewer, ME 04412-2322

Phone 207-989-5588 · Fax 207-989-1599

Authorized official

Gary M Ross
Owner
2079895588

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