MAINEHEALTH (NPI# 1053647024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053647024 |
Entity Type | Organization |
Organization Name | MAINEHEALTH |
Other Organization Name | MAINE HEMOPHILIA AND THROMBOSIS CENTER |
Practice Address |
100 Campus Dr Unit 103 Scarborough ME 04074-7171 |
Mailing Address |
22 Bramhall St Finance Department Mgb 1st Floor Portland ME 04102-3134 |
Practice Telephone | 2078857683 |
Mailing Telephone | 2076623998 |
Mailing Fax Number | 2076626234 |
Enumeration Date | 2009-10-27 |
Last Update Date | 2020-05-11 |
Authorized Official Name | LUGENE ANTHONY INZANA (ASSOCIATE CFO) |
Authorized Official Telephone | 2076623538 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 282N00000X | General Acute Care Hospital | 37025 | ME | Hospitals |
Y | 282N00000X | General Acute Care Hospital | 37563 | ME | Hospitals |
Other Name | Type Code |
---|---|
Maine Hemophilia and Thrombosis Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558841353 | Mainehealth | Skilled Nursing Facility | 35 July St, Sanford, ME 04073-1909 | 2018-08-21 |
1912304205 | Mainehealth | General Acute Care Hospital | 41 Spring Hill Rd, Saco, ME 04072-9650 | 2014-12-02 |
1831418128 | Mainehealth | Day Training, Developmentally Disabled Services | 39 Forest Ave, Portland, ME 04101 | 2010-05-26 |
1295800118 | Mainehealth | Clinic/Center | Cape Jellison Road, Stockton Springs, ME 04981 | 2006-11-24 |
1396815106 | Mainehealth | Pharmacy | Attn: Retail Pharmacy, 6 Glen Cove Drive, Rockport, ME 04856 | 2006-11-09 |
1528151065 | Mainehealth | Nursing Facility/Intermediate Care Facility | 145 Emery Lane, Boothbay Harbor, ME 04538 | 2006-10-02 |
1447342209 | Mainehealth | Skilled Nursing Facility | 35 July Street, Sanford, ME 04073 | 2006-09-29 |
1780788372 | Mainehealth | Internal Medicine | 19 West St, Portland, ME 04102 | 2006-09-12 |
1962496877 | Mainehealth | Skilled Nursing Facility | 6 White St, Rockland, ME 04841-2953 | 2005-09-07 |
1972129005 | Mainehealth | Clinic/Center | 123 Medical Center Dr, Brunswick, ME 04011-2652 | 2020-06-24 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | MAINEHEALTH SERVICES | 110 Free St, Portland, ME 04101-3908 |
Colorado Business Entities | MaineHealth, Inc. | 22 Bramhall Street, Portland, ME 04102 |
Street Address |
100 CAMPUS DR UNIT 103 |
City | SCARBOROUGH |
State | ME |
Zip Code | 04074-7171 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689678112 | Gary M Hochheiser | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 100 Campus Dr, Suite 121, Scarborough, ME 04074-7171 | 2005-06-13 |
1720525447 | Theresa Roelke | Nurse Practitioner | 100 Campus Dr, Suite 121, Scarborough, ME 04074-7171 | 2017-01-20 |
1083162481 | Kathlene Gravelin | Genetic Counselor, MS | 100 Campus Dr, Suite 121, Scarborough, ME 04074-7171 | 2016-09-14 |
1851781710 | Katherine Anne Lafferty | Genetic Counselor, MS | 100 Campus Dr, Suite 121, Scarborough, ME 04074-7171 | 2015-01-30 |
1700276581 | Amanda Lamb | Genetic Counselor, MS | 100 Campus Dr, Suite #121, Scarborough, ME 04074-7171 | 2015-01-30 |
1073803144 | Summer D Mowry | Nurse Practitioner | 100 Campus Dr, Suite 108, Scarborough, ME 04074-7171 | 2011-04-11 |
1912204033 | Mainehealth | General Acute Care Hospital | 100 Campus Dr, Unit 107, Scarborough, ME 04074 | 2011-02-25 |
1841596517 | Mainehealth | Internal Medicine | 100 Campus Dr, Suite 110, Scarborough, ME 04074 | 2011-01-28 |
1588801773 | Karen Anne Phelps | Nurse Practitioner | 100 Campus Dr, Suite 121, Scarborough, ME 04074-7171 | 2009-01-10 |
1962668863 | Jessica H Cary | Genetic Counselor, MS | 100 Campus Dr, Unit 108, Scarborough, ME 04074-7171 | 2008-07-31 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407462443 | Jennifer Marlowe | Counselor | Crossroads Maine 71-us-1, Scarborough, ME 04074 | 2020-09-16 |
1508475724 | Whole Medicine LLC | Family Medicine | 2o Mussey Road, Suite 2, Scarborough, ME 04074 | 2020-07-23 |
1154957793 | Maria Robin Libby | Occupational Therapist | 144 Us-1 #4, Scarborough, ME 04074 | 2020-03-16 |
1558902932 | Daphne Berta Counseling P.C. | Counselor | 636 Route 1, Scarborough, ME 04074 | 2019-10-07 |
1619450574 | Louise Valati | Physical Therapist | Piper Shores, 15 Piper Road, Scarborough, ME 04074 | 2018-09-07 |
1770001315 | Emily Dunuwila | Massage Therapist | 51 Us Route One Suite R2, Scarborough, ME 04074 | 2017-09-04 |
1750808788 | Jill Daicey Hutchison | Physical Therapy Assistant | 67 Pine Point Road, Scarborough, ME 04074 | 2017-08-30 |
1457887580 | Rebecca Shaw | Social Worker | 119 Ash Swamp Road, Scarborough, ME 04074 | 2017-05-10 |
1184168767 | Jessica Ann Kaake | Occupational Therapist | 308 Us Route 1 Ste E1, Scarborough, ME 04074 | 2016-12-15 |
1356895056 | Nancy Gaudet | Counselor | 6 Catherine Drive, Scarborough, ME 04074 | 2016-08-10 |
Find all providers in zip 04074 |
Taxonomy Code | 282N00000X |
Grouping | Hospitals |
Classification | General Acute Care Hospital |
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609251610 | Mainehealth | General Acute Care Hospital | 300 Professional Dr, Scarborough, ME 04074-8433 | 2015-07-21 |
1912204033 | Mainehealth | General Acute Care Hospital | 100 Campus Dr, Unit 107, Scarborough, ME 04074 | 2011-02-25 |
1356651038 | Mainehealth | General Acute Care Hospital | 175 Us Route 1, Scarborough, ME 04074 | 2010-10-15 |
1851605455 | Mainehealth | General Acute Care Hospital | 102 Campus Dr, Scarborough, ME 04074 | 2010-08-06 |
1497068969 | Mainehealth | General Acute Care Hospital | 300 Professional Dr, Scarborough, ME 04074 | 2010-07-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841780608 | Mid Coast Hospital | General Acute Care Hospital | 20 Bristol Rd, Damariscotta, ME 04543-4000 | 2018-05-16 |
1457728180 | Va Maine Health | General Acute Care Hospital | 1 Va Center 05, Va Maine Healthcare System-togus, Augusta, ME 04330 | 2015-08-28 |
1891184560 | Eastern Maine Emergency Veterinary Clinic | General Acute Care Hospital | 15 Dirigo Dr, Brewer, ME 04412-1600 | 2015-01-17 |
1093132946 | Mercy Hospital | General Acute Care Hospital | 175 Fore River Pkwy, Portland, ME 04102-2779 | 2014-03-27 |
1134403223 | York Hospital | General Acute Care Hospital | 16 Hospital Dr Ste C, York, ME 03909-1011 | 2011-10-06 |
1356633655 | Southern Maine Health Care-workwell | General Acute Care Hospital | 13 July St, Sanford, ME 04073-1909 | 2011-05-05 |
1629078712 | Mercy Hospital | General Acute Care Hospital | 144 State St, Portland, ME 04101-3776 | 2005-07-29 |
1154321545 | St. Joseph Hospital | General Acute Care Hospital | 360 Broadway, Bangor, ME 04401-3979 | 2005-07-28 |
1689670242 | Down East Community Hospital | General Acute Care Hospital | Rr 1 Box 11, Machias, ME 04654-9758 | 2005-06-28 |
1790789147 | Eastern Maine Medical Center | General Acute Care Hospital | 489 State St, Bangor, ME 04401-6616 | 2005-06-13 |
Find all providers with the same taxonomy |
City | SCARBOROUGH |
Zip Code | 04074 |
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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.