| Organization Name: | ROCKOMEKA FAMILY PRACTICE LLC |
| NPI Number: | 1871568766 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DOROTHY MARIE THAYER (MEMBER OWNER) |
| Mailing Address: | 38 Union Street Livermore Falls |
| State: | ME US |
| Postal Code: | 04254 |
| Phone Number: | 2078976601 |
| Fax Number: | 2078974339 |
| NPI Enumeration Date: | 02/22/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |