WALDO COUNTY GENERAL HOSPITAL (NPI# 1508931429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508931429 |
| Entity Type | Organization |
| Organization Name | WALDO COUNTY GENERAL HOSPITAL |
| Other Organization Name | ARTHUR JEWELL HEALTH CENTER AMBULANCE |
| 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 | 2009-07-23 |
| Authorized Official Name | LINDA B DRINKWATER (CFO) |
| Authorized Official Telephone | 2073382500 |
| Is Organization Subpart | Y |
| Parent Organization Name | WALDO COUNTY GENERAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 341600000X | Ambulance | 36424 | ME | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 101570300 | 05 |
| Other Name | Type Code |
|---|---|
| Arthur Jewell Health Center Ambulance | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295990935 | Waldo County General Hospital | General Acute Care Hospital | 118 Northport Ave, Belfast, ME 04915-6009 | 2008-07-22 |
| 1164598090 | Waldo County General Hospital | Clinic/Center | 43 West Main Street, Liberty, ME 04949 | 2006-11-24 |
| 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 |
| 1487720215 | Mainehealth | Clinic/Center | 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 | 341600000X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 37. |
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|---|---|---|---|---|
| 1952914434 | Town of Lincoln | Ambulance | 1 Adams St, Lincoln, ME 04457-1412 | 2020-08-25 |
| 1114539293 | Town of Fort Fairfield | Ambulance | 18 Community Center Dr, Fort Fairfield, ME 04742-1193 | 2020-08-19 |
| 1689297137 | Town of Medway | Ambulance | 23 Grindstone Road, Medway, ME 04460-3025 | 2020-05-19 |
| 1689295867 | Central Aroostook County Emergency Medical Service Authority | Ambulance | 150 Military Rd, Blaine, ME 04734-4314 | 2020-04-29 |
| 1083914576 | Town of Swan's Island | Ambulance | 125 Harbor Rd, Swans Island, ME 04685-9998 | 2010-10-30 |
| 1215269006 | Premier Medical Services | Ambulance | 156 Cedar St, #1, Bangor, ME 04401 | 2010-02-04 |
| 1336312073 | Town of Baileyville | Ambulance | 63 Broadway St., Baileyville, ME 04694 | 2008-04-02 |
| 1093909699 | Town of Warren | Ambulance | 167 Western Rd, Warren, ME 04864-4279 | 2007-08-28 |
| 1518163450 | Town of Cushing | Ambulance | 39 Cross Rd, Cushing, ME 04563-3100 | 2007-06-26 |
| 1528260783 | Town of Patten | Ambulance | 27 Dearborn St., Patten, ME 04765 | 2007-06-01 |
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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.