MAINEHEALTH (NPI# 1487720215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487720215 |
| Entity Type | Organization |
| Organization Name | MAINEHEALTH |
| Other Organization Name | ARTHUR JEWELL COMMUNITY HEALTH CENTER |
| Practice Address |
55 Reynolds Road Brooks ME 04921 |
| Mailing Address |
Po Box 159 Brooks ME 04921-0159 |
| Practice Telephone | 2077223488 |
| Practice Fax Number | 2077223183 |
| Mailing Telephone | 2077223488 |
| Mailing Fax Number | 2077223183 |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2019-01-04 |
| Authorized Official Name | LUGENE ANTHONY INZANA (SVP FINANCE, CFO) |
| Authorized Official Telephone | 2076623538 |
| Is Organization Subpart | Y |
| Parent Organization Name | MAINEHEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
36424 | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 101570201 | 05 |
| Other Name | Type Code |
|---|---|
| Arthur Jewell Community Health 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 |
55 REYNOLDS ROAD |
| City | BROOKS |
| State | ME |
| Zip Code | 04921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427077312 | Ronald E. Cormier | Nurse Practitioner | 55 Reynolds Road, Brooks, ME 04921-0159 | 2006-07-19 |
| 1356418685 | Mary Elsa Theobald | Nurse Practitioner | 55 Reynolds Road, Brooks, ME 04915 | 2006-11-30 |
| 1508931429 | Waldo County General Hospital | Ambulance | 55 Reynolds Road, Brooks, ME 04921 | 2006-11-24 |
| 1861403693 | John J Pagonis | Family Medicine | 55 Reynolds Road, Brooks, ME 04915 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821138017 | Nichole Lavalley | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1461 Moosehead Trl, Jackson, ME 04921 | 2007-02-07 |
| 1710149257 | Allyn Eldridge | Occupational Therapy Assistant | 53 Hatch Rd, Jackson, ME 04921-3022 | 2008-06-26 |
| 1669404786 | John C. Kraft | Social Worker | 263 Village Rd, Jackson, ME 04921-3102 | 2006-07-07 |
| 1598278038 | Lisa A Audino | Social Worker | 467 Hadley Mill Rd, Jackson, ME 04921-3119 | 2017-11-07 |
| 1053780809 | Sarina Roche | Registered Nurse | 303 Monroe Hwy, Brooks, ME 04921-3420 | 2015-09-23 |
| 1750404596 | Dorothy Alonso Carin | Family Medicine | 55 Reynolds Rd, Box 159, Brooks, ME 04921-3637 | 2007-04-09 |
| 1043871585 | Julia Ann Ellis | Nurse Practitioner | 55 Reynolds Rd, Brooks, ME 04921-3637 | 2019-06-25 |
| 1700388477 | Brooks Ambulance Inc. | Ambulance | 55 Reynolds Rd, Brooks, ME 04921-3637 | 2018-03-08 |
| 1407254519 | Angela Lyford | Social Worker | 55 Reynolds Rd, Brooks, ME 04921-3637 | 2014-12-05 |
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295800118 | Mainehealth | Clinic/Center | Cape Jellison Road, Stockton Springs, ME 04981 | 2006-11-24 |
| 1679668180 | Sunbury Primary Care, P.a. | Clinic/Center | 775 N Main Rd, Winterport, ME 04496 | 2006-10-03 |
| 1902841083 | Rumford Community Family Health Center, Inc. | Clinic/Center | 146 Weld St, Dixfield, ME 04224-9614 | 2006-06-20 |
| 1871568766 | Rockomeka Family Practice LLC | Clinic/Center | 38 Union Street, Livermore Falls, ME 04254 | 2006-02-22 |
| 1851397475 | Down East Community Hospital | Clinic/Center | 24 School St, Milbridge, ME 04658-0005 | 2005-06-28 |
| 1295367803 | Sebasticook Valley Health | Clinic/Center | 26 Main St Ste 2, Newport, ME 04953-4163 | 2020-02-11 |
| 1245873082 | Mainehealth | Clinic/Center | 181 Franklin Health Commons, Farmington, ME 04938 | 2019-10-24 |
| 1619510047 | Mainehealth | Clinic/Center | 131 Franklin Health Cmns, Farmington, ME 04938-6142 | 2019-10-17 |
| 1811451081 | Mainehealth | Clinic/Center | 21 Main St, Livermore Falls, ME 04254-1219 | 2019-01-22 |
| 1922550417 | Down East Community Hospital | Clinic/Center | 70 Snare Creek Ln, Jonesport, ME 04649-3139 | 2016-10-31 |
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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.