| Organization Name: | DEPARTMENT OF VETERAN AFFAIRS |
| NPI Number: | 1184648594 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN P. MCEWAN (GEC CARE LINE MANAGER) |
| Mailing Address: | 163 Van Buren Rd Suite 6 Caribou |
| State: | ME US |
| Postal Code: | 047363567 |
| Phone Number: | 2074851711 |
| Fax Number: | 2074933877 |
| NPI Enumeration Date: | 07/27/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QV0200X |
| License Number: | 6801086877 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | VA |
| Taxonomy Definition: | |