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Katahdin Valley Health Center

Organization Active NPI Community/Retail Pharmacy · Dover Foxcroft, ME

NPI 1194428656 · NPPES record last updated Apr 29, 2023

Key facts

NPI
1194428656
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
Legal business name
KATAHDIN VALLEY HEALTH CENTER
Practice address
188 Summer St Ste a
Dover Foxcroft, ME 04426-1129
Phone
(207) 528-2285
Fax
(207) 528-2880
NPI assigned
Mar 23, 2023
Organization subpart
No

Authorized official

Name
Claudette Humphrey
Title
Ceo
Phone
(207) 528-2285

Other NPIs with the same Medicare PAC ID 12

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 14

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 66

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 66

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Katahdin Valley Health Center
188 Summer St, Dover Foxcroft, ME 04426-1129 · (207) 538-3700		 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignment
Participating since Jan 1, 1994
Katahdin Valley Health Center
188 Summer St, Dover Foxcroft, ME 04426-1129 · (207) 538-3700		 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignment
Participating since Jan 1, 1994

Medicare participation

Medicare fee-for-service enrollment
Enrolled in ME

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20250114000245 ME DME Supplier - Pharmacy 4880659903 Practice locations: Dover Foxcroft, ME

National Provider Directory

Tax ID family
Katahdin Valley Health Center (15 organizations share this tax ID)

Locations

188 Summer St
Ste B
Dover Foxcroft, ME 04426

188 Summer St
Ste A
Dover Foxcroft, ME 04426

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Yes

Addresses

Primary practice location

188 Summer St Ste a
Dover Foxcroft, ME 04426-1129

Mailing address

529 S Patten Rd
Patten, ME 04765-3007
Phone (207) 528-2285

Other providers in Dover Foxcroft, ME

All providers in Dover Foxcroft, ME · Community/Retail Pharmacy in Maine

Sources for this page

Verify at the official NPI Registry.