MAINEGENERAL MEDICAL CENTER (NPI# 1174858278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174858278 |
| Entity Type | Organization |
| Organization Name | MAINEGENERAL MEDICAL CENTER |
| Other Organization Name | MAINEGENERAL PRIMARY CARE |
| Practice Address |
35 Medical Center Parkway Augusta ME 04330 |
| Mailing Address |
P.o Box 860 Waterville ME 04903 |
| Practice Telephone | 2078724454 |
| Practice Fax Number | 2078724467 |
| Mailing Telephone | 2078724454 |
| Mailing Fax Number | 2078724467 |
| Enumeration Date | 2009-10-07 |
| Last Update Date | 2020-08-24 |
| Authorized Official Name | TERRANCE BRANN (CFO) |
| Authorized Official Telephone | 2076261230 |
| Is Organization Subpart | Y |
| Parent Organization Name | MAINEGENERAL HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 282N00000X | General Acute Care Hospital | 37283 | ME | Hospitals |
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 1174858278 | 05 | |
| ME | 432678105 | 05 |
| Other Name | Type Code |
|---|---|
| MaineGeneral Primary Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063716710 | Mainegeneral Medical Center | Family Medicine | 35 Medical Center Parkway, Augusta, ME 04330 | 2011-01-10 |
| 1083949184 | Mainegeneral Medical Center | Nurse Practitioner | 35 Medical Center Parkway, Augusta, ME 04330 | 2009-10-07 |
| 1104908300 | Mainegeneral Medical Center | Nursing Facility/Intermediate Care Facility | 376 Main St, Jackman, ME 04945-5214 | 2006-10-19 |
| 1447289996 | Mainegeneral Medical Center | Rehabilitation Unit | 35 Medical Center Parkway, Augusta, ME 04330 | 2006-06-30 |
| 1285672436 | Mainegeneral Medical Center | General Acute Care Hospital | 35 Medical Center Parkway, Augusta, ME 04330 | 2006-06-02 |
| 1669423380 | Mainegeneral Medical Center | General Acute Care Hospital | 35 Medical Center Pkwy, Augusta, ME 04330-8160 | 2006-05-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MAINEGENERAL MEDICAL CENTER | 35 Medical Center Parkway, Augusta, ME 04330-8160 |
| Street Address |
35 MEDICAL CENTER PARKWAY |
| City | AUGUSTA |
| State | ME |
| Zip Code | 04330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992789184 | Kennebec Anesthesia Associates, P.a. | Anesthesiology | 35 Medical Center Parkway, Ste 201, Augusta, ME 04330-8160 | 2005-12-01 |
| 1154780310 | Morgan Cornell | Nurse Anesthetist, Certified Registered | 35 Medical Center Parkway, Augusta, ME 04330-8160 | 2016-02-16 |
| 1255614145 | Angela Kostenbader | Physician Assistant | 35 Medical Center Parkway, Augusta, ME 04330 | 2011-09-27 |
| 1063716710 | Mainegeneral Medical Center | Family Medicine | 35 Medical Center Parkway, Augusta, ME 04330 | 2011-01-10 |
| 1013249903 | Angela Coton | Physician Assistant | 35 Medical Center Parkway, Augusta, ME 04330-3623 | 2010-02-03 |
| 1083949184 | Mainegeneral Medical Center | Nurse Practitioner | 35 Medical Center Parkway, Augusta, ME 04330 | 2009-10-07 |
| 1316100498 | Lakshman Subrahmanyan | Internal Medicine | 35 Medical Center Parkway, Suite 101, Augusta, ME 04330 | 2008-07-08 |
| 1760640056 | Raina M Lourens | Anesthesiology | 35 Medical Center Parkway, Augusta, ME 04330-8160 | 2008-05-23 |
| 1932130507 | Johnathan K Grandy | Physician Assistant | 35 Medical Center Parkway, Augusta, ME 04330 | 2006-07-05 |
| 1447289996 | Mainegeneral Medical Center | Rehabilitation Unit | 35 Medical Center Parkway, Augusta, ME 04330 | 2006-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181877 | Renewal Family Center, LLC | Community/Behavioral Health | 10 Learners Drive, Augusta, ME 04330 | 2020-10-12 |
| 1134748759 | Chelsea Simone Koch | Registered Nurse | 1 Va Center, Department of Veterans Affairs, Augusta, ME 04330 | 2020-04-14 |
| 1790238442 | Nicole Lacrosse | Behavioral Analyst | 53 Hayden Rd, Augusta, ME 04330 | 2016-07-29 |
| 1093176844 | Richard J. Larrabee | Counselor | 312 Townhouse Road, Chelsea, ME 04330 | 2016-03-08 |
| 1376910984 | Sarah C. A. Tatlock | Social Worker | 41 Anthony Ave, Augusta, ME 04330 | 2015-08-31 |
| 1457728180 | Va Maine Health | General Acute Care Hospital | 1 Va Center 05, Va Maine Healthcare System-togus, Augusta, ME 04330 | 2015-08-28 |
| 1043696842 | Megan Arsenault | Pharmacist | 403 Water Street, Augusta, ME 04330 | 2015-08-04 |
| 1205219987 | Trevor Holbert | Audiologist | 1 Va Center - Togus Va Medical Center, Audiology 126a, Augusta, ME 04330 | 2015-06-30 |
| 1659787836 | Hannah M. Pullen | Occupational Therapy Assistant | 12 Shuman Ave Ste 16, Augusta, ME 04330 | 2014-07-08 |
| 1831469899 | Tanya Bernadette Quarterman | Specialist | 153 Hospital St Ste 13, Augusta, ME 04330 | 2012-01-09 |
| Find all providers in zip 04330 | ||||
| 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 |
|---|---|---|---|---|
| 1902459316 | Au Medical Center, Inc | General Acute Care Hospital | 1348 Walton Way Ste 6300c, Augusta, GA 30901-5104 | 2019-07-24 |
| 1457728180 | Va Maine Health | General Acute Care Hospital | 1 Va Center 05, Va Maine Healthcare System-togus, Augusta, ME 04330 | 2015-08-28 |
| 1124354782 | Medex Associates, LLC | General Acute Care Hospital | 630 13th St Ste 100, Augusta, GA 30901-1016 | 2009-11-02 |
| 1285842856 | Medical College of Georgia | General Acute Care Hospital | 1423 Harper St, Augusta, GA 30912-0021 | 2007-05-18 |
| 1083616213 | Augusta Hospital LLC | General Acute Care Hospital | 2260 Wrightsboro Rd, Augusta, GA 30904-4764 | 2005-06-01 |
| 1124569843 | Augusta University Medical Center | General Acute Care Hospital | 1120 15th St, Augusta, GA 30912-0004 | 2017-03-14 |
| 1356709935 | Georgia Regents University Augusta | General Acute Care Hospital | 1120 15th St, Suite Bp 4109, Augusta, GA 30912-0004 | 2016-02-10 |
| 1154787695 | Georgia Regents University Augusta | General Acute Care Hospital | 1040 Alexander Dr, Apt. 5222, Augusta, GA 30909-0243 | 2016-01-14 |
| 1699150391 | Sandra Mays | General Acute Care Hospital | 1 Freedom Way, Augusta, GA 30904-6258 | 2015-07-23 |
| 1710389085 | Physicians Practice Group | General Acute Care Hospital | 1120 15th St, Suite Af-2033, Augusta, GA 30912-0004 | 2014-09-18 |
| Find all providers in AUGUSTA | ||||
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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.