KATAHDIN VALLEY HEALTH CENTER (NPI# 1497825699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497825699 |
| Entity Type | Organization |
| Organization Name | KATAHDIN VALLEY HEALTH CENTER |
| Practice Address |
180 Aroostook Ave Millinocket ME 04462-1338 |
| 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 | 2006-11-08 |
| 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 | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 168260103 | 05 |
| 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 |
180 AROOSTOOK AVE |
| City | MILLINOCKET |
| State | ME |
| Zip Code | 04462-1338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548201270 | Mary C Labun | Licensed Practical Nurse | 180 Aroostook Ave, Millinocket, ME 04462-1338 | 2006-06-10 |
| 1710257647 | Kristina L Winslow | Registered Nurse | 180 Aroostook Ave, Millinocket, ME 04462-1338 | 2012-01-10 |
| 1770862385 | Abbie L Colombo | Dental Assistant | 180 Aroostook Ave, Millinocket, ME 04462-1338 | 2011-08-12 |
| 1396780326 | Ann R Grunthaler | Licensed Practical Nurse | 180 Aroostook Ave, Millinocket, ME 04462 | 2006-06-16 |
| 1679515092 | Gretchen M Berry | Registered Nurse | 180 Aroostook Ave, Millinocket, ME 04462-1338 | 2006-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992320279 | Carrie Lynne Farber | Massage Therapist | 304 Bates Street, Millinoket, ME 04462 | 2020-06-11 |
| 1053550350 | David P Johnson | Physician Assistant | 165 Poplar Street, Suite #1, Millinocket, ME 04462 | 2009-02-10 |
| 1760640189 | Health Access Network, Inc. | Clinic/Center | 24 Balsam Dr, Millinocket, ME 04462 | 2008-06-02 |
| 1972725372 | East Millinocket School Department | Local Education Agency (LEA) | 45 North Street, East Millinocket, ME 04462 | 2007-05-03 |
| 1285755843 | Town of Millinocket | Ambulance | 197 Penobscot Ave, Millinocket, ME 04462 | 2007-04-02 |
| 1093815367 | David J Shippee | Optometrist | 178 Central St, Millinocket, ME 04462 | 2006-09-25 |
| 1356627772 | Andrea Byther | Dietitian, Registered | 200 Somerset Street, Millinocket Regional Hospital, Millinocket, ME 04462 | 2011-10-31 |
| 1205838174 | John J Gluscic | Orthopaedic Surgery | 165 Poplar St, Suite 1, Millinocket, ME 04462-1235 | 2005-08-11 |
| 1285827840 | Nilesh K Patil | Orthopaedic Surgery | 165 Poplar St, Suite 1, Millinocket, ME 04462-1235 | 2007-08-27 |
| 1245336577 | Jason F Campbell | Surgery | 165 Poplar St, Suite 2, Millinocket, ME 04462-1235 | 2006-09-15 |
| Find all providers in zip 04462 | ||||
| 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 |
|---|---|---|---|---|
| 1760640189 | Health Access Network, Inc. | Clinic/Center | 24 Balsam Dr, Millinocket, ME 04462 | 2008-06-02 |
| 1003034406 | Katahdin Valley Health Center | Clinic/Center | 50 Summer St, Millinocket, ME 04462-1400 | 2007-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 | MILLINOCKET |
| Zip Code | 04462 |
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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.