SEBASTICOOK VALLEY HEALTH CONVENIENT CARE LLC (NPI# 1265748719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265748719 |
| Entity Type | Organization |
| Organization Name | SEBASTICOOK VALLEY HEALTH CONVENIENT CARE LLC |
| Practice Address |
1573 Main St Palmyra ME 04965-3236 |
| Practice Telephone | 2073685991 |
| Practice Fax Number | 2073685994 |
| Mailing Telephone | 2073685991 |
| Mailing Fax Number | 2073685994 |
| Enumeration Date | 2010-08-23 |
| Last Update Date | 2010-08-23 |
| 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 | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
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 |
| 1124333661 | Elizabeth Amalia Ross | Nurse Practitioner | 1573 Main St, Palmyra, ME 04965-3236 | 2010-08-09 |
| 1568780823 | Sebasticook Valley Family Practice Association | Clinic/Center | 1573 Main St, Palmyra, ME 04965-3236 | 2010-05-12 |
| 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 | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154988707 | Maine Urgent Care, LLC | Clinic/Center | 685 Sabattus Street, Lewiston, ME 04240-0000 | 2019-05-20 |
| 1093276370 | Convenientmd LLC | Clinic/Center | 193 Bath Road, Brunswick, ME 04011 | 2019-03-28 |
| 1700355567 | Careall P.C. | Clinic/Center | 230 Waterman Dr, South Portland, ME 04106-3635 | 2018-11-21 |
| 1992281422 | Convenientmd LLC | Clinic/Center | 543 Broadway, Bangor, ME 04401-3337 | 2018-07-18 |
| 1821589029 | York Hospital | Clinic/Center | 2 Independence Dr Ste B, Kennebunk, ME 04043-6078 | 2018-05-23 |
| 1548617780 | Occuaptional Health Centers of The Southwest, P.a. | Clinic/Center | 54 Rumery, Industrial Park, Portland, ME 04106 | 2016-05-18 |
| 1982051488 | Occuaptional Health Centers of The Southwest, P.a. | Clinic/Center | 1 Idexx Dr, Westbrook, ME 04092-2040 | 2016-05-16 |
| 1578918132 | Occuaptional Health Centers of The Southwest, P.a. | Clinic/Center | 113 Wells St, North Berwick, ME 03906-6751 | 2016-05-02 |
| 1437504198 | Occuaptional Health Centers of The Southwest, P.a. | Clinic/Center | 205 Spencer Dr, Wells, ME 04090-5553 | 2016-05-02 |
| 1366897027 | Occuaptional Health Centers of The Southwest, P.a. | Clinic/Center | 89 Cumberland St, Westbrook, ME 04092-3592 | 2016-05-02 |
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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.