Organization

Brewer Health Center Pa

Clinic/Center in Brewer, ME(View on Map)

Legal Business Name

Brewer Health Center Pa

NPI Number

1487842019

NPI Type

Organization

Enumeration Date

10/09/2007

Specialties

(Taxonomies)

Code

261Q00000X

Primary Taxonomy

Yes

Licenses

State

Maine

License Number

1127

Contact
Information

Purpose

Mailing
Location

Address

401 S MAIN ST
401 S MAIN ST

City

Brewer
Brewer

State

ME
ME

Postal Code

04412-2322
04412-2322

Country

US
US

Telephone Number

(207) 989-5588
(207) 989-5588

Authorized Official

Name

Mr. Gary Ross

Title or Position

OWNER

Telephone Number

(207) 989-5588

Identifiers

Identifier

1639130099

Identifier State

ME

Identifier Issuer

NPI

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/26/2014

Provider Address