NORTHERN MAINE MEDICAL CENTER (NPI# 1568465144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568465144 |
| Entity Type | Organization |
| Organization Name | NORTHERN MAINE MEDICAL CENTER |
| Practice Address |
194 East Main Street Fort Kent ME 04743-1428 |
| Practice Telephone | 2078343155 |
| Practice Fax Number | 2078342949 |
| Mailing Telephone | 2078343155 |
| Mailing Fax Number | 2078342949 |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2011-06-06 |
| Authorized Official Name | MR. PETER J SIROIS (INTERIM CEO) |
| Authorized Official Telephone | 2078343155 |
| Authorized Official Credential | C.F.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 282N00000X | General Acute Care Hospital | 36151 | ME | Hospitals |
| N | 282N00000X | General Acute Care Hospital | 36943 | ME | Hospitals |
| Y | 282N00000X | General Acute Care Hospital | 37310 | ME | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | ANTHEM BCBS PROVIDER # | 000065 | 01 |
| ME | 999020397 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265417430 | Northern Maine Medical Center | Durable Medical Equipment & Medical Supplies | 104 Main St, Madawaska, ME 04756 | 2005-12-10 |
| 1174519490 | Northern Maine Medical Center | Nursing Facility/Intermediate Care Facility | 25 Bolduc Ave, Fort Kent, ME 04743-1601 | 2005-09-22 |
| 1851942429 | Northern Maine Medical Center | Pharmacy | 194 E Main St, Fort Kent, ME 04743-1428 | 2019-09-25 |
| 1386147098 | Northern Maine Medical Center | Pharmacy | 104 Main St, Madawaska, ME 04756-1437 | 2018-03-09 |
| 1548785371 | Northern Maine Medical Center | Pharmacy | 104 Main St, Madawaska, ME 04756 | 2017-08-14 |
| 1891184172 | Northern Maine Medical Center | Medicare Defined Swing Bed Unit | 194 E Main St, Fort Kent, ME 04743-1428 | 2015-01-09 |
| 1790830503 | Northern Maine Medical Center | Durable Medical Equipment & Medical Supplies | 194 E Main St, Fort Kent, ME 04743-1428 | 2007-01-24 |
| 1750443842 | Northern Maine Medical Center | Internal Medicine | 197 E Main St, Fort Kent, ME 04743-1409 | 2006-12-14 |
| 1053345546 | Northern Maine Medical Center | Psychologist | 194 E Main St, Fort Kent, ME 04743-1428 | 2006-07-10 |
| 1962481077 | Northern Maine Medical Center | General Practice | 194 E Main St, Fort Kent, ME 04743 | 2006-01-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NORTHERN MAINE MEDICAL CENTER | 194 E Main St, Fort Kent, ME 04743-1428 |
| Street Address |
194 EAST MAIN STREET |
| City | FORT KENT |
| State | ME |
| Zip Code | 04743-1428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801872759 | Northern Maine Medical Center | Psychiatric Unit | 194 East Main Street, Fort Kent, ME 04743-1428 | 2005-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609483874 | Megan K Pelletier | Pharmacist | Address: 182 Market St Suite 2, Fort Kent, ME 04743 | 2020-09-30 |
| 1629344171 | Sherry Marie Stedt | Massage Therapist | 590 Caribou Rd, Fort Kent, ME 04743 | 2012-03-29 |
| 1215140181 | School Administrative District 27 | Student in an Organized Health Care Education/Training Program | 84 Pleasant Street, Suite 1, Fort Kent, ME 04743 | 2007-05-08 |
| 1578785846 | M.s.a.d.#27 | Student in an Organized Health Care Education/Training Program | 108 Pleasant Street, Fort Kent, ME 04743 | 2007-05-03 |
| 1598880122 | Kristy Jo Nadeau | Social Worker | 210 Market St., Fort Kent, ME 04743 | 2007-03-20 |
| 1619066297 | Paul W Tisher | Psychiatry & Neurology | 104 East Main Street, Fort Kent, ME 04743 | 2006-10-12 |
| 1326150467 | Paul Huges Mcbreairty | Obstetrics & Gynecology | 468 St John Rd, Fort Kent, ME 04743 | 2006-08-31 |
| 1356459739 | Louis J Paradis Inc | Pharmacy | 62 West Main Street, Suite 101, Fort Kent, ME 04743 | 2006-08-27 |
| 1023024585 | Richard Raymond | Dentist | 139 Market Street, Suite 107, Fort Kent, ME 04743 | 2006-08-01 |
| 1003898677 | Lisa M. Eno | Nurse Practitioner | 197 East Main Street, Suite 101, Fort Kent, ME 04743 | 2005-11-18 |
| Find all providers in zip 04743 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841780608 | Mid Coast Hospital | General Acute Care Hospital | 20 Bristol Rd, Damariscotta, ME 04543-4000 | 2018-05-16 |
| 1457728180 | Va Maine Health | General Acute Care Hospital | 1 Va Center 05, Va Maine Healthcare System-togus, Augusta, ME 04330 | 2015-08-28 |
| 1891184560 | Eastern Maine Emergency Veterinary Clinic | General Acute Care Hospital | 15 Dirigo Dr, Brewer, ME 04412-1600 | 2015-01-17 |
| 1093132946 | Mercy Hospital | General Acute Care Hospital | 175 Fore River Pkwy, Portland, ME 04102-2779 | 2014-03-27 |
| 1134403223 | York Hospital | General Acute Care Hospital | 16 Hospital Dr Ste C, York, ME 03909-1011 | 2011-10-06 |
| 1356633655 | Southern Maine Health Care-workwell | General Acute Care Hospital | 13 July St, Sanford, ME 04073-1909 | 2011-05-05 |
| 1629078712 | Mercy Hospital | General Acute Care Hospital | 144 State St, Portland, ME 04101-3776 | 2005-07-29 |
| 1154321545 | St. Joseph Hospital | General Acute Care Hospital | 360 Broadway, Bangor, ME 04401-3979 | 2005-07-28 |
| 1689670242 | Down East Community Hospital | General Acute Care Hospital | Rr 1 Box 11, Machias, ME 04654-9758 | 2005-06-28 |
| 1790789147 | Eastern Maine Medical Center | General Acute Care Hospital | 489 State St, Bangor, ME 04401-6616 | 2005-06-13 |
| 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.