EASTERN MAINE MEDICAL CENTER (NPI# 1598755399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598755399 |
| Entity Type | Organization |
| Organization Name | EASTERN MAINE MEDICAL CENTER |
| Practice Address |
489 State St Bangor ME 04401-6616 |
| Mailing Address |
43 Whiting Hill Rd Floor 5 Brewer ME 04412-1005 |
| Practice Telephone | 2079737000 |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2019-07-30 |
| Authorized Official Name | MR. MARC EDELMAN (SR. VP OF OPERATIONS) |
| Authorized Official Telephone | 2079738992 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 282N00000X | General Acute Care Hospital | 35999 | ME | Hospitals |
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 101780000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487781548 | Eastern Maine Medical Center | Pediatrics | 404 State St Ste 310, Bangor, ME 04401-6623 | 2007-02-27 |
| 1790789147 | Eastern Maine Medical Center | General Acute Care Hospital | 489 State St, Bangor, ME 04401-6616 | 2005-06-13 |
| 1134492846 | Eastern Maine Medical Center | General Acute Care Hospital | 417 State St, Suite 421, Bangor, ME 04401-6630 | 2012-02-13 |
| 1780674580 | Eastern Maine Medical Center | General Acute Care Hospital | 489 State St, Bangor, ME 04401-6616 | 2005-10-24 |
| 1588654479 | Eastern Maine Medical Center | General Acute Care Hospital | 489 State St, Bangor, ME 04401-6616 | 2005-10-24 |
| 1780674689 | Eastern Maine Medical Center | Rehabilitation Unit | 489 State St, Bangor, ME 04401-6616 | 2005-10-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | EASTERN MAINE MEDICAL CENTER | 489 State St, Bangor, ME 04401-6674 |
| Street Address |
489 STATE ST |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-6616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790789147 | Eastern Maine Medical Center | General Acute Care Hospital | 489 State St, Bangor, ME 04401-6616 | 2005-06-13 |
| 1356956239 | Amanda Roberts | Physician Assistant | 489 State St, Bangor, ME 04401-6674 | 2020-09-09 |
| 1558983148 | Lana Caroline Hoertz | Physician Assistant | 489 State St, Bangor, ME 04401-6616 | 2020-05-18 |
| 1427696954 | Kelsey A Mcgrath | Nurse Anesthetist, Certified Registered | 489 State St, Bangor, ME 04401-6616 | 2019-12-16 |
| 1528629888 | Jaclyn Young | Nurse Anesthetist, Certified Registered | 489 State St, Bangor, ME 04401-6616 | 2019-06-26 |
| 1568928018 | Emily Bohm | Physician Assistant | 489 State St, Bangor, ME 04401-6616 | 2019-02-20 |
| 1144786971 | Andrew Hopkins | Physician Assistant | 489 State St, Bangor, ME 04401-6616 | 2019-02-18 |
| 1750847083 | Daniel Patrick Conway | Physician Assistant | 489 State St, Bangor, ME 04401-6616 | 2019-02-12 |
| 1306317847 | Matthew Daniel Kent | Nurse Anesthetist, Certified Registered | 489 State St, Bangor, ME 04401-6616 | 2018-12-10 |
| 1750869061 | Brian Marsh | Nurse Practitioner | 489 State St, Bangor, ME 04401 | 2018-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222523 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Longview Dr, Bangor, ME 04401 | 2020-10-16 |
| 1033737937 | Daniel John Phulman | Counselor | 202 Exchange Street, Bangor, ME 04401 | 2020-07-08 |
| 1770104358 | Elizabeth Sarah Caruson | Physician Assistant | 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 | 2020-05-05 |
| 1053961300 | Erika Dean | Occupational Therapist | 84 Sylvan Rd., Bangor, ME 04401 | 2019-09-18 |
| 1942853635 | Wildworks Therapy, Pllc | Occupational Therapist | 123 Mt Hope Ave, Bangor, ME 04401 | 2019-07-22 |
| 1255999173 | Jessica Arbisi | Physician Assistant | 1 Northeast Drive, Bangor, ME 04401 | 2019-06-05 |
| 1699232041 | Ehab Khamis Elhefnawi | Anesthesiology | Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 | 2019-02-21 |
| 1477028884 | Zvorufura Makura | Otolaryngology | 885 Union Street, Ste 145, Bangor, ME 04401 | 2018-10-11 |
| 1255826541 | Lindsey M Fields | Optometrist | 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 | 2018-06-28 |
| 1992211338 | Debra J Mcintyre | Counselor | 157 Park Street, #5, Bangor, ME 04401 | 2017-12-21 |
| Find all providers in zip 04401 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215281712 | Total Renal Care Inc | Clinic/Center | 925 Union St, Ste 1, Bangor, ME 04401-3051 | 2012-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982106597 | Total Renal Care Inc | Clinic/Center | 403 Wilson St, Brewer, ME 04412-1521 | 2018-02-28 |
| 1902228513 | Dialysis Clinic Inc | Clinic/Center | 205 Ridge Rd, Fairfield, ME 04937-3376 | 2014-01-16 |
| 1346594769 | Total Renal Care Inc | Clinic/Center | 250 Enfield Rd, Lincoln, ME 04457 | 2012-11-07 |
| 1922352301 | Total Renal Care Inc | Clinic/Center | 11 Short St, Ellsworth, ME 04605-1718 | 2012-11-06 |
| 1982723037 | The Aroostook Medical Center | Clinic/Center | 23 North St Ste 5, Presque Isle, ME 04769-2291 | 2007-03-28 |
| 1609892686 | Bio-medical Applications of Maine, Inc. | Clinic/Center | 1 Chabot St, Westbrook, ME 04092-4759 | 2006-07-14 |
| 1154347136 | Bio-medical Applications of Maine, Inc. | Clinic/Center | 29 Barra Rd, Biddeford, ME 04005-9495 | 2006-07-14 |
| 1336165315 | Bio-medical Applications of Maine, Inc. | Clinic/Center | 73 Allen St, Wilton, ME 04294-3052 | 2006-07-14 |
| 1427074400 | Bio-medical Applications of Maine, Inc. | Clinic/Center | 4 Edwards Ave, Damariscotta, ME 04543-4252 | 2006-07-14 |
| 1518983592 | Bio-medical Applications of Maine, Inc. | Clinic/Center | 1100 Minot Ave, Auburn, ME 04210-3739 | 2006-07-14 |
| 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.