EASTPORT HEALTH CARE, INC. (NPI# 1295020691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295020691 |
| Entity Type | Organization |
| Organization Name | EASTPORT HEALTH CARE, INC. |
| Practice Address |
53 Fremont St Machias ME 04654-1320 |
| Mailing Address |
Po Box H Eastport ME 04631-0909 |
| Practice Telephone | 2072558290 |
| Practice Fax Number | 2072554109 |
| Mailing Telephone | 2078536001 |
| Mailing Fax Number | 2078534031 |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2015-11-17 |
| Authorized Official Name | HOLLY M GARTMAYER (CEO) |
| Authorized Official Telephone | 2078536001 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770878167 | Eastport Health Care, Inc. | Clinic/Center | 55 Franklin St, Calais, ME 04619-1301 | 2011-06-14 |
| 1568757946 | Eastport Health Care, Inc. | Clinic/Center | 10 Palmer St, Calais, ME 04619-1386 | 2011-06-14 |
| 1093752917 | Eastport Health Care, Inc. | Clinic/Center | 30 Boynton St, Eastport, ME 04631-1306 | 2006-05-31 |
| Street Address |
53 FREMONT ST |
| City | MACHIAS |
| State | ME |
| Zip Code | 04654-1320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083645873 | Kimberley Roberts | Clinical Nurse Specialist | 53 Fremont St, Machias, ME 04654-1320 | 2006-07-06 |
| 1114421633 | Crystal Lea Atkinson | Registered Nurse | 53 Fremont St, Machias, ME 04654 | 2018-03-20 |
| 1063892990 | Adam Simmons | Podiatrist | 53 Fremont St, Machias, ME 04654 | 2015-06-05 |
| 1831202134 | Cynthia Sammis | Family Medicine | 53 Fremont St, Machias, ME 04654-1320 | 2006-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528577574 | Teresa Lynn Mcguire | Massage Therapist | 63 Old County Rd, Machias, ME 04654 | 2017-09-21 |
| 1801294723 | Jennifer Lynn Wood | Social Worker | 232 Court Street, Machias, ME 04654 | 2014-12-09 |
| 1467624551 | Thomas Richmond Halkett | Counselor | 8 Pleasant Blvd, Machias, ME 04654 | 2008-03-28 |
| 1821206731 | Barbara Lynn Fox | Counselor | Upper Court Street, Machias, ME 04654 | 2007-05-21 |
| 1205958402 | Town of Machias | Ambulance | 25 Mcdonald Dr, Machias, ME 04654 | 2007-04-06 |
| 1760503080 | John A Edwards | Psychologist | 294 East Kennebec Road, Machias, ME 04654 | 2007-04-03 |
| 1689791089 | Jody E Mountcastle | Social Worker | 14 Steves Ln, Marshfield, ME 04654 | 2007-03-23 |
| 1497829733 | Charles H Dorr Jr. | Dentist | 25 Hadley Lake Road, Marshfield, ME 04654 | 2006-11-20 |
| 1457360141 | Donna K. Salisbury | Social Worker | 15 Kids Corner, Machias, ME 04654 | 2006-08-05 |
| 1568471936 | Diana Sholtz | Psychologist | 1 Stackpole Road, Machias, ME 04654 | 2006-08-05 |
| Find all providers in zip 04654 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 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 | ||||
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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.