Provider Demographics
NPI:1013332584
Name:CALAIS REGIONAL HOSPITAL
Entity Type:Organization
Organization Name:CALAIS REGIONAL HOSPITAL
Other - Org Name:CRMS INTERNAL MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COMPLIANCE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:BARNETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-454-9253
Mailing Address - Street 1:43 PALMER ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:CALAIS
Mailing Address - State:ME
Mailing Address - Zip Code:04619-1305
Mailing Address - Country:US
Mailing Address - Phone:207-454-8233
Mailing Address - Fax:207-454-0086
Practice Address - Street 1:43 PALMER ST
Practice Address - Street 2:SUITE 2
Practice Address - City:CALAIS
Practice Address - State:ME
Practice Address - Zip Code:04619-1305
Practice Address - Country:US
Practice Address - Phone:207-454-8233
Practice Address - Fax:207-454-0086
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-20
Last Update Date:2019-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty