BUCKSPORT REGIONAL HEALTH CENTER (NPI# 1043271133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043271133 |
| Entity Type | Organization |
| Organization Name | BUCKSPORT REGIONAL HEALTH CENTER |
| Practice Address |
110 Broadway Bucksport ME 04416 |
| Practice Telephone | 2074697371 |
| Mailing Telephone | 2074697371 |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2020-03-06 |
| Authorized Official Name | CAROL CAREW (CEO) |
| Authorized Official Telephone | 2074697371 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
20D0714964 | ME | Behavioral Health & Social Service Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
20D0714964 | ME | Dental Providers |
| N | 207Q00000X | Family Medicine | 20D0714964 | ME | Allopathic & Osteopathic Physicians |
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
20D0714964 | ME | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 168130000 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 37 Commerce Park, Ellsworth, ME 046053383 | 2074697371 | 2074697306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457599813 | Bucksport Regional Health Center | Clinical Medical Laboratory | 110 Broadway, Bucksport, ME 04416-4612 | 2009-01-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BUCKSPORT REGIONAL HEALTH CENTER | 37 Commerce Park, Ellsworth, ME 04605-3383 |
| Street Address |
110 BROADWAY |
| City | BUCKSPORT |
| State | ME |
| Zip Code | 04416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518966027 | Stanley L Whittemore Jr. | Family Medicine | 110 Broadway, Bucksport Regional Healthcenter, Bucksport, ME 04416 | 2005-07-18 |
| 1053805309 | Heidi Jane Shawley | Nurse Practitioner | 110 Broadway, Bucksport, ME 04416-4612 | 2018-06-20 |
| 1568909455 | Paul J Gualtieri | Dentist | 110 Broadway, Bucksport, ME 04416-4612 | 2017-01-30 |
| 1295101129 | Sara Jean Willey | Nurse Practitioner | 110 Broadway, Bucksport, ME 04416-4612 | 2015-08-14 |
| 1912145319 | Laureen Alison Leblanc | Registered Nurse | 110 Broadway, Bucksport, ME 04416-4612 | 2009-01-23 |
| 1457599813 | Bucksport Regional Health Center | Clinical Medical Laboratory | 110 Broadway, Bucksport, ME 04416-4612 | 2009-01-23 |
| 1982863486 | Samantha Jamie Billings | Dentist | 110 Broadway, Bucksport, ME 04416 | 2008-06-09 |
| 1679755540 | John C Bjorn | Family Medicine | 110 Broadway, Bucksport, ME 04416 | 2007-12-03 |
| 1730374943 | Patricia Lynn Ryan | Registered Nurse | 110 Broadway, Bucksport, ME 04416-0000 | 2007-09-11 |
| 1154486488 | Denise M. Daniel | Counselor | 110 Broadway, Bucksport, ME 04416-4612 | 2006-12-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831667278 | Anna Levesque | Pharmacist | 220 Us-1, Ste 1, Bucksport, ME 04416 | 2018-11-04 |
| 1528582475 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 220 Us Rte 1 Ste 1, Bucksport, ME 04416 | 2017-08-02 |
| 1679822076 | Brenden Placido Rock | Pharmacist | 220 U.S. Route 1, Bucksport, ME 04416 | 2012-08-31 |
| 1841504834 | Rashid K Sarpong | Pharmacist | Us Hwy Route 220, Rite Aid Pharmacy Fort Knox Shopping Plaza, Bucksport, ME 04416 | 2010-08-02 |
| 1740593409 | Sylvester A Osa-iyare | Pharmacist | 220 Us Route 1 Ste 1, Rite Aid Pharmacy, Bucksport, ME 04416 | 2010-07-22 |
| 1124352737 | Ellsworth Bucksport Dental Associates | Dentist | 11 Mechanic Street, Bucksport, ME 04416 | 2009-09-29 |
| 1568603538 | Ester Marie Arnberg | Acupuncturist | 100 U.S. Highway #1, Suite #2, Verona Island, ME 04416 | 2009-03-20 |
| 1457560724 | Orland School Department | Local Education Agency (LEA) | 62 Mechanic Street, Bucksport, ME 04416 | 2007-05-22 |
| 1376757021 | Bucksport School Department | Local Education Agency (LEA) | 62 Mechanic St., Bucksport, ME 04416 | 2007-05-10 |
| 1174640551 | Town of Bucksport Ambulance | Emergency Medical Technician, Paramedic | 89 Franklin Street, Bucksport, ME 04416 | 2007-03-23 |
| Find all providers in zip 04416 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1760973960 | Penobscot Community Health Center | Clinic/Center | 1012 Union St Ste 3, Bangor, ME 04401-3058 | 2018-05-23 |
| 1700317971 | Portland Community Health Center | Clinic/Center | 28 Portland St, Portland, ME 04101-2912 | 2017-03-21 |
| 1184165367 | Katahdin Valley Health Center | Clinic/Center | 65 South St, Houlton, ME 04730-1550 | 2017-03-20 |
| 1255872537 | Portland Community Health Center | Clinic/Center | 175 Auburn St, Portland, ME 04103-2131 | 2017-03-20 |
| 1881135192 | Portland Community Health Center | Clinic/Center | 353 Cumberland Avenue, Cliff Island, ME 04109-0008 | 2017-03-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.