Active NPI
MRH Corp.
Doing business as Northern Light Internal Medicine Dexter
- Internal Medicine Physician
- Dexter, ME
National Provider Identifier
1174645931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- MRH CORP.
- Doing business as
- Northern Light Internal Medicine Dexter
- Practice address
- 41 High St
Dexter, ME 04930-1311 - Phone
- (207) 924-5226
- Fax
- (207) 924-5992
- NPI assigned
- Apr 4, 2007
- Last updated
- Apr 23, 2020
- Organization subpart
- Yes
- Parent organization
- MRH CORP.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marie Vienneau
- Title
- President
- Phone
- (207) 564-4251
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | NU | Primary |
Addresses
Primary practice location
41 High St
Dexter, ME 04930-1311
Mailing address
897 W Main St
Dover Foxcroft, ME 04426-1029
Phone (207) 924-5226
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C22673 | Other | ME | RAILROAD MEDICARE |
| DC3866 | Other | ME | RAILROAD MEDICARE |
Other names 1
- Northern Light Internal Medicine Dexter
National Provider Directory
National Provider Directory- Part of
- MRH Corp
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Dexter, ME
- NPI 1851584437
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1587600000000",
"number": "1174645931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "897 W MAIN ST",
"city": "DOVER FOXCROFT",
"state": "ME",
"postal_code": "044261029",
"telephone_number": "207-924-5226",
"fax_number": "207-924-5992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 HIGH ST",
"city": "DEXTER",
"state": "ME",
"postal_code": "049301311",
"telephone_number": "207-924-5226",
"fax_number": "207-924-5992"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MRH CORP.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MRH CORP.",
"enumeration_date": "2007-04-04",
"last_updated": "2020-04-23",
"certification_date": "2020-04-23",
"status": "A",
"authorized_official_last_name": "VIENNEAU",
"authorized_official_first_name": "MARIE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "207-564-4251"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "C22673",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DC3866",
"state": "ME"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Northern Light Internal Medicine Dexter",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Dexter, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.