ISLANDS COMMUNITY MEDICAL SERVICES INC (NPI# 1265460794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265460794 |
| Entity Type | Organization |
| Organization Name | ISLANDS COMMUNITY MEDICAL SERVICES INC |
| Other Organization Name | ISLANDS COMMUNITY MEDICAL CENTER |
| Practice Address |
15 Medical Center Loop Vinalhaven ME 04863 |
| Practice Telephone | 2078634341 |
| Practice Fax Number | 2078639358 |
| Mailing Telephone | 2078634341 |
| Mailing Fax Number | 2078639358 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2019-01-18 |
| Authorized Official Name | DINAH B MOYER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2078634109 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Islands Community Medical Center | Doing Business As Name - Organization |
| Street Address |
15 MEDICAL CENTER LOOP |
| City | VINALHAVEN |
| State | ME |
| Zip Code | 04863 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679124275 | Luke John Price | Physician Assistant | 15 Medical Center Loop, Vinalhaven, ME 04863-4119 | 2019-09-25 |
| 1093262792 | Jennifer Guptill | Registered Nurse | 15 Medical Center Loop, Vinalhaven, ME 04863-4119 | 2016-09-10 |
| 1588013833 | Samanatha Quinn I | Dental Hygienist | 15 Medical Center Loop, Vinalhaven, ME 04863-4119 | 2016-06-08 |
| 1457738247 | Islands Community Medical Services | Clinic/Center | 15 Medical Center Loop, Vinalhaven, ME 04863-4119 | 2015-04-30 |
| 1447691191 | Sarah Mcdonald | Registered Nurse | 15 Medical Center Loop, Vinalhaven, ME 04863-4119 | 2013-07-10 |
| 1013266105 | Brian M Webster | Nurse Practitioner | 15 Medical Center Loop, Vinalhaven, ME 04863-4119 | 2012-09-05 |
| 1013217116 | Islands Community Medical Services, Inc. | Ambulance | 15 Medical Center Loop, Vinalhaven, ME 04863-0812 | 2010-10-25 |
| 1861701336 | Jennifer Feezor | Social Worker | 15 Medical Center Loop, Vinalhaven, ME 04863-4119 | 2010-10-01 |
| 1700085776 | Oscar Falconer | Physician Assistant | 15 Medical Center Loop, Vinalhaven, ME 04863-4119 | 2007-07-11 |
| 1528181229 | Island Community Medical Services - Dental | Dentist | 15 Medical Center Loop, Vinalhaven, ME 04863 | 2007-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649414848 | Heather Reidy | Developmental Therapist | 29 Roberts Cemetery Rd, Vinalhaven, ME 04863 | 2009-05-01 |
| 1447372271 | Town of Vinalhaven | Ambulance | 56 West Main Street, Vinalhaven, ME 04863 | 2007-04-04 |
| 1932590098 | Carol A Baker | Massage Therapist | 16 Clayter Hill Rd, Vinalhaven, ME 04863-0122 | 2015-02-11 |
| 1144599812 | Kenneth E White | Psychiatry & Neurology | 24 Chestnut St, Vinalhaven, ME 04863-0823 | 2011-12-23 |
| 1043608607 | Maryann Hopkins | Speech-Language Pathologist | 3 Granite Island Rd, Vinalhaven, ME 04863-3508 | 2015-01-06 |
| 1730310475 | Vinalhaven Eldercare Services | Assisted Living Facility | 18 Beaver Dam Rd, Vinalhaven, ME 04863-3915 | 2009-07-29 |
| 1467668855 | Vinalhaven School | Local Education Agency (LEA) | 22 Arcola Ln, Vinalhaven, ME 04863-4014 | 2007-05-15 |
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457738247 | Islands Community Medical Services | Clinic/Center | 15 Medical Center Loop, Vinalhaven, ME 04863-4119 | 2015-04-30 |
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|---|---|---|---|---|
| 1023621273 | Sebasticook Family Doctors | Clinic/Center | 291 Williams Road, Newport, ME 04953 | 2020-08-27 |
| 1295386316 | Community Clinical Services, Inc | Clinic/Center | 1250 Turner St, Auburn, ME 04210-6436 | 2019-09-20 |
| 1679047872 | Portland Community Health Center | Clinic/Center | 52 Frederic St, Portland, ME 04102-2700 | 2019-01-22 |
| 1043783822 | Portland Community Health Center | Clinic/Center | 72 Bishop St, Portland, ME 04102-2957 | 2019-01-04 |
| 1770056558 | Portland Community Health Center | Clinic/Center | 190 Valley Street, Portland, ME 04102-2957 | 2019-01-04 |
| 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 | ||||
| City | VINALHAVEN |
| Zip Code | 04863 |
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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.