Provider Demographics
NPI:1891184560
Name:EASTERN MAINE EMERGENCY VETERINARY CLINIC
Entity Type:Organization
Organization Name:EASTERN MAINE EMERGENCY VETERINARY CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HOSPITAL ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:DARNELL
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-991-4491
Mailing Address - Street 1:PO BOX 3073
Mailing Address - Street 2:
Mailing Address - City:BREWER
Mailing Address - State:ME
Mailing Address - Zip Code:04412-3073
Mailing Address - Country:US
Mailing Address - Phone:207-989-6267
Mailing Address - Fax:207-989-6286
Practice Address - Street 1:15 DIRIGO DR
Practice Address - Street 2:
Practice Address - City:BREWER
Practice Address - State:ME
Practice Address - Zip Code:04412-1600
Practice Address - Country:US
Practice Address - Phone:207-989-6267
Practice Address - Fax:207-989-6286
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-17
Last Update Date:2015-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital