| Organization Name: | HOULTON REGIONAL HOSPITAL DBA HOULTON FAMILY PRACTICE |
| NPI Number: | 1386601524 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | THOMAS J MOAKLER (CEO) |
| Mailing Address: | 22 Hartford St Houlton |
| State: | ME US |
| Postal Code: | 047301844 |
| Phone Number: | 2075323289 |
| Fax Number: | 2075325974 |
| NPI Enumeration Date: | 05/01/2006 |
| NPI Last Update Date: | 01/13/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |