FISH RIVER RURAL HEALTH (NPI# 1174741094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174741094 |
| Entity Type | Organization |
| Organization Name | FISH RIVER RURAL HEALTH |
| Practice Address |
194 E Main St Fort Kent ME 04743-1428 |
| Mailing Address |
10 Carter St. Po Box 309 Eagle Lake ME 04739-0309 |
| Practice Telephone | 2078343971 |
| Practice Fax Number | 2078343837 |
| Mailing Telephone | 2074445973 |
| Mailing Fax Number | 2074445520 |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2016-11-15 |
| Authorized Official Name | HEATHER PELLETIER (CEO) |
| Authorized Official Telephone | 2074445973 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 121330000 | 05 | |
| ME | ANTHEM BLUE CROSS SHIELD | 016881 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568838928 | Fish River Rural Health | Clinic/Center | 12 Bolduc Ave, Fort Kent, ME 04743-1602 | 2015-08-19 |
| 1528608437 | Fish River Rural Health | Clinic/Center | 169 Main St, Van Buren, ME 04785-1248 | 2020-01-08 |
| 1467902668 | Fish River Rural Health | Clinic/Center | 309 Saint Thomas St, Madawaska, ME 04756-1278 | 2016-10-12 |
| 1376761288 | Fish River Rural Health | Clinic/Center | 10 Carter St., Eagle Lake, ME 04739-0309 | 2007-04-23 |
| Street Address |
194 E MAIN ST |
| City | FORT KENT |
| State | ME |
| Zip Code | 04743-1428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467441774 | Alexandre Gennadievich Andrianov | Internal Medicine | 194 E Main St, Fort Kent, ME 04743-1428 | 2005-10-19 |
| 1366041113 | Jordan Albert | Pharmacist | 194 E Main St, Fort Kent, ME 04743-1428 | 2020-10-22 |
| 1093330441 | Stephanie Lynne Michaud | Nurse Practitioner | 194 E Main St, Fort Kent, ME 04743-1428 | 2020-06-11 |
| 1306485511 | Jodi Pearl Cote | Nurse Practitioner | 194 E Main St, Fort Kent, ME 04743-1428 | 2020-01-06 |
| 1003459231 | Alicia Lyn Soucy | Nurse Practitioner | 194 E Main St, Fort Kent, ME 04743-1428 | 2019-10-21 |
| 1558904771 | Crystal Lynn Hughes | Social Worker | 194 E Main St, Fort Kent, ME 04743-1428 | 2019-10-21 |
| 1851942429 | Northern Maine Medical Center | Pharmacy | 194 E Main St, Fort Kent, ME 04743-1428 | 2019-09-25 |
| 1316507437 | Andrna Erica Christopher | Nurse Practitioner | 194 E Main St, Fort Kent, ME 04743-1428 | 2019-06-20 |
| 1760946107 | Kelly Ann Lozier | Occupational Therapist | 194 E Main St, Fort Kent, ME 04743-1428 | 2019-01-30 |
| 1578027405 | Leslie-ann Labonte | Occupational Therapist | 194 E Main St, Fort Kent, ME 04743-1428 | 2019-01-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609483874 | Megan K Pelletier | Pharmacist | Address: 182 Market St Suite 2, Fort Kent, ME 04743 | 2020-09-30 |
| 1629344171 | Sherry Marie Stedt | Massage Therapist | 590 Caribou Rd, Fort Kent, ME 04743 | 2012-03-29 |
| 1215140181 | School Administrative District 27 | Student in an Organized Health Care Education/Training Program | 84 Pleasant Street, Suite 1, Fort Kent, ME 04743 | 2007-05-08 |
| 1578785846 | M.s.a.d.#27 | Student in an Organized Health Care Education/Training Program | 108 Pleasant Street, Fort Kent, ME 04743 | 2007-05-03 |
| 1598880122 | Kristy Jo Nadeau | Social Worker | 210 Market St., Fort Kent, ME 04743 | 2007-03-20 |
| 1619066297 | Paul W Tisher | Psychiatry & Neurology | 104 East Main Street, Fort Kent, ME 04743 | 2006-10-12 |
| 1326150467 | Paul Huges Mcbreairty | Obstetrics & Gynecology | 468 St John Rd, Fort Kent, ME 04743 | 2006-08-31 |
| 1356459739 | Louis J Paradis Inc | Pharmacy | 62 West Main Street, Suite 101, Fort Kent, ME 04743 | 2006-08-27 |
| 1023024585 | Richard Raymond | Dentist | 139 Market Street, Suite 107, Fort Kent, ME 04743 | 2006-08-01 |
| 1003898677 | Lisa M. Eno | Nurse Practitioner | 197 East Main Street, Suite 101, Fort Kent, ME 04743 | 2005-11-18 |
| Find all providers in zip 04743 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568838928 | Fish River Rural Health | Clinic/Center | 12 Bolduc Ave, Fort Kent, ME 04743-1602 | 2015-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023621273 | Sebasticook Family Doctors | Clinic/Center | 291 Williams Road, Newport, ME 04953 | 2020-08-27 |
| 1295386316 | Community Clinical Services, Inc | Clinic/Center | 1250 Turner St, Auburn, ME 04210-6436 | 2019-09-20 |
| 1679047872 | Portland Community Health Center | Clinic/Center | 52 Frederic St, Portland, ME 04102-2700 | 2019-01-22 |
| 1043783822 | Portland Community Health Center | Clinic/Center | 72 Bishop St, Portland, ME 04102-2957 | 2019-01-04 |
| 1770056558 | Portland Community Health Center | Clinic/Center | 190 Valley Street, Portland, ME 04102-2957 | 2019-01-04 |
| 1760973960 | Penobscot Community Health Center | Clinic/Center | 1012 Union St Ste 3, Bangor, ME 04401-3058 | 2018-05-23 |
| 1700317971 | Portland Community Health Center | Clinic/Center | 28 Portland St, Portland, ME 04101-2912 | 2017-03-21 |
| 1184165367 | Katahdin Valley Health Center | Clinic/Center | 65 South St, Houlton, ME 04730-1550 | 2017-03-20 |
| 1255872537 | Portland Community Health Center | Clinic/Center | 175 Auburn St, Portland, ME 04103-2131 | 2017-03-20 |
| 1881135192 | Portland Community Health Center | Clinic/Center | 353 Cumberland Avenue, Cliff Island, ME 04109-0008 | 2017-03-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on FISH RIVER RURAL HEALTH.
| 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.