Sebasticook Valley Health Convenient Care LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

SEBASTICOOK VALLEY HEALTH CONVENIENT CARE LLC

Practice address

1573 Main St
Palmyra, ME 04965-3236

Phone

(207) 368-5991

Fax

(207) 368-5994

NPI assigned

Aug 23, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Randall Clark

Title

VP of Finance

Phone

(207) 487-4022

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1282521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282521600000",
    "number": "1265748719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1573 MAIN ST",
            "city": "PALMYRA",
            "state": "ME",
            "postal_code": "049653236",
            "telephone_number": "207-368-5991",
            "fax_number": "207-368-5994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1573 MAIN ST",
            "city": "PALMYRA",
            "state": "ME",
            "postal_code": "049653236",
            "telephone_number": "207-368-5991",
            "fax_number": "207-368-5994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEBASTICOOK VALLEY HEALTH CONVENIENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-23",
        "last_updated": "2010-08-23",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "207-487-4022"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lance Carter Richmond Jr., RPH
• Elizabeth Amalia Ross, FNP
• Sebasticook Family Doctors
• Sebasticook Family Doctors
• Sebasticook Valley Family Practice Association
• Susan McCaw
• Gena M Tripp
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP

• Urgent Care Clinic/Center in Palmyra, ME
• Providers in Palmyra, ME by specialty
• Urgent Care Clinic/Center in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; 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.