Basic Information
| Provider Information | |||||||||
| NPI: | 1437348794 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | OXFORD HILLS INTERNAL MEDICINE GROUP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 193 MAIN ST | ||||||||
| Address2: | SUITE 1 | ||||||||
| City: | NORWAY | ||||||||
| State: | ME | ||||||||
| PostalCode: | 042685645 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2077437721 | ||||||||
| FaxNumber: | 2077436306 | ||||||||
| Practice Location | |||||||||
| Address1: | 193 MAIN ST | ||||||||
| Address2: | SUITE 1 | ||||||||
| City: | NORWAY | ||||||||
| State: | ME | ||||||||
| PostalCode: | 042685645 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2077437721 | ||||||||
| FaxNumber: | 2077436306 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/23/2007 | ||||||||
| LastUpdateDate: | 10/23/2007 | ||||||||
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| AuthorizedOfficialLastName: | LONGSTAFF | ||||||||
| AuthorizedOfficialFirstName: | MARY | ||||||||
| AuthorizedOfficialMiddleName: | F | ||||||||
| AuthorizedOfficialTitleorPosition: | OFFFICE MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 2077437721 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QH0100X | ME | Y | Ambulatory Health Care Facilities | Clinic/Center | Health Service |
No ID Information.