Organization Active NPI

MRH Corp.

Doing business as Northern Light Internal Medicine Dexter

  • Internal Medicine Physician
  • Dexter, ME
National Provider Identifier
1174645931
Registry record updated Apr 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
MRH CORP.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 23, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
C22673OtherMERAILROAD MEDICARE
DC3866OtherMERAILROAD MEDICARE

Other names 1

  • Northern Light Internal Medicine Dexter Doing business as

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.

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.

Verify at the official NPI Registry.