KATAHDIN VALLEY HEALTH CENTER (NPI# 1417301524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417301524 |
| Entity Type | Organization |
| Organization Name | KATAHDIN VALLEY HEALTH CENTER |
| Practice Address |
59 Bangor St Houlton ME 04730-1740 |
| Mailing Address |
529 S Patten Rd Patten ME 04765-3007 |
| Practice Telephone | 2075282285 |
| Practice Fax Number | 2075282880 |
| Mailing Telephone | 2075282285 |
| Mailing Fax Number | 2075282880 |
| Enumeration Date | 2016-04-15 |
| Last Update Date | 2016-12-20 |
| Authorized Official Name | CLAUDETTE G HUMPHREY (CEO) |
| Authorized Official Telephone | 2075282285 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184165367 | Katahdin Valley Health Center | Clinic/Center | 65 South St, Houlton, ME 04730-1550 | 2017-03-20 |
| 1669913919 | Katahdin Valley Health Center | Clinic/Center | 48 Penquis Dr, Milo, ME 04463-1033 | 2017-03-19 |
| 1417407107 | Katahdin Valley Health Center | Clinic/Center | 800 Station Rd, Stacyville, ME 04777-4121 | 2016-10-06 |
| 1053787721 | Katahdin Valley Health Center | Clinic/Center | 180 Main Rd, Brownville, ME 04414-3107 | 2015-08-18 |
| 1962833624 | Katahdin Valley Health Center | Clinic/Center | 33 Walker St, Ashland, ME 04732-3429 | 2013-12-06 |
| 1023290020 | Katahdin Valley Health Center | Clinic/Center | 147 Hodgdon Mills Rd, Hodgdon, ME 04730-4277 | 2007-11-30 |
| 1942482948 | Katahdin Valley Health Center | Clinic/Center | 174 Hodgdon Mills Rd, Hodgdon, ME 04730-4278 | 2007-11-30 |
| 1801092515 | Katahdin Valley Health Center | Clinic/Center | 15 Hartford St, Houlton, ME 04730-1823 | 2007-06-21 |
| 1457421307 | Katahdin Valley Health Center | Clinic/Center | 1300 Crystal Road, Island Falls, ME 04747 | 2006-11-08 |
| 1669450524 | Katahdin Valley Health Center | Clinic/Center | 30 Houlton St, Patten, ME 04765-3035 | 2006-01-02 |
| Street Address |
59 BANGOR ST |
| City | HOULTON |
| State | ME |
| Zip Code | 04730-1740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700858354 | Dawn Mcginnis | Nurse Practitioner | 59 Bangor St, Houlton, ME 04730-1740 | 2006-02-07 |
| 1457950404 | Jessica R Hemingway | Registered Nurse | 59 Bangor St, Houlton, ME 04730-1740 | 2020-10-21 |
| 1154936912 | Jamieson F Romanelli | Nurse Practitioner | 59 Bangor St, Houlton, ME 04730-1740 | 2020-09-09 |
| 1811512668 | Mary Jane Walton | Nurse Practitioner | 59 Bangor St, Houlton, ME 04730-1740 | 2020-06-08 |
| 1942822234 | Jessica C Porter | Registered Nurse | 59 Bangor St, Houlton, ME 04730-1740 | 2020-05-11 |
| 1417579954 | Tania Godbout | Nurse Practitioner | 59 Bangor St, Houlton, ME 04730-1740 | 2020-05-07 |
| 1619597804 | Keri Louise Bennett | Registered Nurse | 59 Bangor St, Houlton, ME 04730-1740 | 2020-04-17 |
| 1922643246 | Jamie M Mccarthy | Registered Nurse | 59 Bangor St, Houlton, ME 04730-1740 | 2019-11-11 |
| 1568007185 | Desiree A Deprey | Nurse's Aide | 59 Bangor St, Houlton, ME 04730-1740 | 2019-11-07 |
| 1275178899 | Jayde N Stover | Nurse's Aide | 59 Bangor St, Houlton, ME 04730-1740 | 2019-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568924322 | Sarah Lee Lynds | Occupational Therapy Assistant | 20 Harford St, Houlton, ME 04730 | 2019-04-02 |
| 1518267715 | Jill Forest | Case Manager/Care Coordinator | 147 Hodgdon Mills Road, Hodgdon, ME 04730 | 2010-10-22 |
| 1689989097 | Miriam Carter | Speech-Language Pathologist | 65 South St., Rsu #29, Houlton, ME 04730 | 2010-08-10 |
| 1821296708 | Carl Malcolm Tingley | Physical Therapy Assistant | 342 Mcsheffery Road, Houlton, ME 04730 | 2007-07-03 |
| 1386847804 | Jennifer Ann Gooley | Physical Therapy Assistant | 94 Militay St., Madigan Estates, Holton, ME 04730 | 2007-06-11 |
| 1386783173 | Bruce Merrill Harvey | Chiropractor | 22 B Road, Houlton, ME 04730 | 2007-02-06 |
| 1225124050 | Houlton Band of Maliseet Indians | Clinic/Center | 12 Clover Circle, Houlton, ME 04730 | 2006-10-05 |
| 1205929171 | Donald P Woods | Dentist | 88 Mcsheffery Rd, Houlton, ME 04730 | 2006-10-02 |
| 1578665485 | Donald G Brushett | Family Medicine | 59 Bangor Street, Katahdin Valley Health Center, Houlton, ME 04730 | 2006-09-01 |
| 1518463470 | A New Start LLC | Social Worker | 22 North Street, Houiton, ME 04730 | 2018-03-31 |
| Find all providers in zip 04730 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629503370 | Katahdin Valley Health Center | Clinic/Center | 60 South St, Houlton, ME 04730-1500 | 2017-05-01 |
| 1275068926 | Katahdin Valley Health Center | Clinic/Center | 7 Bird St, Houlton, ME 04730-2402 | 2017-05-01 |
| 1710412465 | Katahdin Valley Health Center | Clinic/Center | 65 South St, Houlton, ME 04730-1550 | 2017-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003430711 | Md Portland LLC | Clinic/Center | 15 Middle St # A-c2, Portland, ME 04101-4881 | 2020-05-29 |
| 1740815976 | Douglas H Macgilpin, LLC | Clinic/Center | 80 Baribeau Dr Ste 2, Brunswick, ME 04011-3218 | 2020-03-09 |
| 1750916078 | Dental Hygiene Associates of Maine | Clinic/Center | 8 Moosehead Ln Apt 108, Dover Foxcroft, ME 04426-1402 | 2020-03-06 |
| 1598396350 | Roots Dental, Pllc | Clinic/Center | 191 Marginal Way Ste C, Portland, ME 04101-3387 | 2020-01-30 |
| 1255979563 | Mbrace Orthodontics Pllc | Clinic/Center | 74 Gray Rd Ste 1, Falmouth, ME 04105-2062 | 2019-12-17 |
| 1174184253 | Gorham Village Dental LLC | Clinic/Center | 77 South St, Gorham, ME 04038-1715 | 2019-06-27 |
| 1568934313 | 42 North Dental Care Pllc | Clinic/Center | 1 Willow Run Unit 1b, Auburn, ME 04210-8501 | 2018-12-18 |
| 1407330467 | Katahdin Family Dental LLC | Clinic/Center | 254 South St, Calais, ME 04619-1322 | 2018-09-17 |
| 1548752363 | Hygiene Health LLC | Clinic/Center | 74 State Rd Ste 202, Kittery, ME 03904-1562 | 2018-06-06 |
| 1891208120 | Westbrook Family Dentistry | Clinic/Center | 100 Larrabee Rd Ste 160, Westbrook, ME 04092-5111 | 2017-11-08 |
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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.