| Organization Name: | STEPHENS MEMORIAL HOSPITAL ASSOCIATION |
| NPI Number: | 1053601864 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN W COX (SR VP FISCAL) |
| Mailing Address: | 193 Main St Suite 2 Norway |
| State: | ME US |
| Postal Code: | 042685645 |
| Phone Number: | 2077439292 |
| Fax Number: | 2077431578 |
| NPI Enumeration Date: | 04/13/2011 |
| NPI Last Update Date: | 10/15/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |