| Organization Name: | NORTHERN MAINE MEDICAL CENTER |
| NPI Number: | 1962481077 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PETER SIROIS (CEO) |
| Mailing Address: | 194 E Main St Fort Kent |
| State: | ME US |
| Postal Code: | 04743 |
| Phone Number: | 2078345877 |
| Fax Number: | |
| NPI Enumeration Date: | 01/17/2006 |
| NPI Last Update Date: | 01/06/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |