FISH RIVER RURAL HEALTH (NPI# 1528608437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528608437 |
| Entity Type | Organization |
| Organization Name | FISH RIVER RURAL HEALTH |
| Practice Address |
169 Main St Van Buren ME 04785-1248 |
| Mailing Address |
Po Box 309 Eagle Lake ME 04739-0309 |
| Practice Telephone | 2078343971 |
| Practice Fax Number | 2078343837 |
| Mailing Telephone | 2078343971 |
| Mailing Fax Number | 2078343837 |
| Enumeration Date | 2020-01-08 |
| Last Update Date | 2020-01-08 |
| Authorized Official Name | HEATHER A 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568838928 | Fish River Rural Health | Clinic/Center | 12 Bolduc Ave, Fort Kent, ME 04743-1602 | 2015-08-19 |
| 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 |
| 1174741094 | Fish River Rural Health | Clinic/Center | 194 E Main St, Fort Kent, ME 04743-1428 | 2007-04-23 |
| Street Address |
169 MAIN ST |
| City | VAN BUREN |
| State | ME |
| Zip Code | 04785-1248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134339641 | Maine School Administrative District #24 | Local Education Agency (LEA) | 169 Main St, Suite 101, Van Buren, ME 04785-1249 | 2007-05-23 |
| 1578776258 | Maine School Administrative District #24 | Local Education Agency (LEA) | 169 Main St, Suite 101, Van Buren, ME 04785-1249 | 2007-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679944490 | Kristin Theriault | Social Worker | 358 Hamlin Rd, Hamlin, ME 04785 | 2015-10-20 |
| 1508188517 | Myles Peter Ouellette | Massage Therapist | 204 Champlain St, Van Buren, ME 04785 | 2010-02-17 |
| 1336380443 | Ouellette Foster Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 162 State Street, Van Buren, ME 04785 | 2009-03-19 |
| 1114168945 | St Jude's Foster Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 123 Wright Street, Von Buren, ME 04785 | 2009-03-06 |
| 1184852022 | Bernadette Fortin | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 144 High St, Van Buren, ME 04785 | 2009-06-30 |
| 1245754209 | Walgreen Co | Pharmacy | 21 Main St, Van Buren, ME 04785-1008 | 2017-08-01 |
| 1760761134 | Katie Daigle | Pharmacist | 21 Main St, Van Buren, ME 04785-1008 | 2011-08-16 |
| 1174814396 | Marion Brett Felty | Pharmacist | 21 Main St, Van Buren, ME 04785-1008 | 2011-04-21 |
| 1851462931 | Rite Aid of Maine Inc | Durable Medical Equipment & Medical Supplies | 21 Main Street, Van Buren, ME 04785-1008 | 2006-11-13 |
| 1366051666 | Lindsey Desrosier | Nurse Practitioner | 4 Main St, Van Buren, ME 04785-1009 | 2020-07-23 |
| Find all providers in zip 04785 | ||||
| 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 |
|---|---|---|---|---|
| 1225045321 | Big Springs Medical Association | Clinic/Center | 405 Main Street, Van Buren, MO 63965-0486 | 2006-08-02 |
| 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.