| Organization Name: | HOSPITAL ADMINISTRATIVE DISTRICT 4 DBA MAYO REGIONAL HOSPITAL |
| NPI Number: | 1558319103 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARIE VIENNEAU (PRESIDENT AND CEO) |
| Mailing Address: | 897 W Main St Dover Foxcroft |
| State: | ME US |
| Postal Code: | 044261029 |
| Phone Number: | 2075648401 |
| Fax Number: | 2075644377 |
| NPI Enumeration Date: | 05/05/2006 |
| NPI Last Update Date: | 08/25/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC0060X |
| License Number: | 36472 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Critical Access |
| Taxonomy Definition: | |