FISH RIVER RURAL HEALTH (NPI# 1467902668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467902668 |
| Entity Type | Organization |
| Organization Name | FISH RIVER RURAL HEALTH |
| Practice Address |
309 Saint Thomas St Madawaska ME 04756-1278 |
| Mailing Address |
Po Box 309 Eagle Lake ME 04739-0309 |
| Practice Telephone | 2077284779 |
| Mailing Telephone | 2077284779 |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2017-04-19 |
| Authorized Official Name | HEATHER PELLETIER (EXECUTIVE DIRECTOR) |
| 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 |
| 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 |
| 1376761288 | Fish River Rural Health | Clinic/Center | 10 Carter St., Eagle Lake, ME 04739-0309 | 2007-04-23 |
| 1174741094 | Fish River Rural Health | Clinic/Center | 194 E Main St, Fort Kent, ME 04743-1428 | 2007-04-23 |
| Street Address |
309 SAINT THOMAS ST |
| City | MADAWASKA |
| State | ME |
| Zip Code | 04756-1278 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437109782 | Nelson David Henry | Dentist | 309 Saint Thomas St, Madawaska, ME 04756-1278 | 2006-05-10 |
| 1568779957 | St John Valley Dental Center | Dentist | 309 Saint Thomas St, Suite 103, Madawaska, ME 04756-1278 | 2010-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023642758 | Ian David Lee | Student in an Organized Health Care Education/Training Program | 205 21st Avenue, Madawaska, ME 04756 | 2020-03-03 |
| 1194123893 | Robin Romann | Social Worker | 88 Fox St Ste 101, Madawaska, ME 04756 | 2014-12-11 |
| 1457507972 | Country Village Estates L.L.C. | Assisted Living Facility | 260 Dugal Drive, Madawaska, ME 04756 | 2008-08-15 |
| 1124120738 | Sarah Frances Borja Chua | Internal Medicine | 460 Main St Ste 104, Madawaska, ME 04756 | 2006-09-03 |
| 1225006778 | Steven Albert | Nurse Practitioner | 460 Main Street, Suite 104, Madawaska, ME 04756 | 2006-03-10 |
| 1265417430 | Northern Maine Medical Center | Durable Medical Equipment & Medical Supplies | 104 Main St, Madawaska, ME 04756 | 2005-12-10 |
| 1548785371 | Northern Maine Medical Center | Pharmacy | 104 Main St, Madawaska, ME 04756 | 2017-08-14 |
| 1609269711 | Kayla Cl Michaud | Counselor | 88 Fox St, Madawaska, ME 04756 | 2015-03-13 |
| 1073809034 | Heather A Berce | Social Worker | 88 Fox St, Suite 101, Madawaska, ME 04756 | 2011-06-28 |
| 1235423922 | Tricia L. Perreault | Counselor | 88 Fox St, Suite 101, Madawaska, ME 04756 | 2011-05-31 |
| Find all providers in zip 04756 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
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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.