Provider Demographics
NPI:1659354116
Name:AROOSTOOK COUNTY ACTION PROGRAM
Entity Type:Organization
Organization Name:AROOSTOOK COUNTY ACTION PROGRAM
Other - Org Name:HEALTH 1ST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINIC COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOUNTAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-768-3056
Mailing Address - Street 1:PO BOX 1116
Mailing Address - Street 2:
Mailing Address - City:PRESQUE ISLE
Mailing Address - State:ME
Mailing Address - Zip Code:04769-1116
Mailing Address - Country:US
Mailing Address - Phone:207-768-3056
Mailing Address - Fax:207-768-3022
Practice Address - Street 1:486 FRENCHVILLE RD
Practice Address - Street 2:
Practice Address - City:FORT KENT
Practice Address - State:ME
Practice Address - Zip Code:04743-1722
Practice Address - Country:US
Practice Address - Phone:207-834-3513
Practice Address - Fax:207-834-3513
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME013236OtherANTHEM
ME1041019OtherAETNA HMO
ME5059615OtherAETNA NHMO