Organization · Type 2 NPI

Bucksport Regional Health Center

Federally Qualified Health Center (FQHC) · Ellsworth, ME

NPI number 1992412787 Active

Practice location

24 Lejok St
Ellsworth, ME 04605-4767

Call (207) 667-6054 Map

Mailing address

110 Broadway
Bucksport, ME 04416-4612

Specialties and licenses

Taxonomy	Code	License
School Social Worker	1041S0200X	None listed
Family Medicine Physician	207Q00000X	None listed
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

3 other providers at this address

City of EllsworthLocal Education Agency (LEA) Ellsworth, ME NPI 1508782848
Ellsworth School DepartmentLocal Education Agency (LEA) Ellsworth, ME NPI 1245157536
Nicole Donnelly, MA CCC-SLPSpeech-Language Pathologist Ellsworth, ME NPI 1912814492

Other federally qualified health center (fqhc) providers in Ellsworth

Bucksport Regional Health CenterFederally Qualified Health Center (FQHC) Ellsworth, ME NPI 1568125011

See all in Ellsworth →

NPI record

NPI: 1992412787
Entity type: Organization (Type 2)
Issued: Nov 1, 2022
Last updated: Jan 26, 2024
Status: Active
Subpart: Yes of Bucksport Regional Health Center

Other names

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Bucksport Regional Health Center Ellsworth School · other name
Bucksport Regional Health Center Ellsworth School · other name

Authorized official

Carol Carew, RN, BSN, MBA
CEO
(207) 469-7371

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1992412787

Bucksport Regional Health Center's National Provider Identifier is 1992412787, issued on Nov 1, 2022. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Ellsworth, ME. The record was last updated on Jan 26, 2024.