MAINEHEALTH (NPI# 1659392819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659392819 |
| Entity Type | Organization |
| Organization Name | MAINEHEALTH |
| Other Organization Name | SOUTHERN MAINE HEALTH CARE |
| Practice Address |
One Medical Center Drive Biddeford ME 04005-9422 |
| Mailing Address |
Po Box 626 Biddeford ME 04005-0626 |
| Practice Telephone | 2072837000 |
| Mailing Telephone | 2072837000 |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2020-02-12 |
| Authorized Official Name | LUGENE ANTHONY INZANA (SVP FINANCE, CFO) |
| Authorized Official Telephone | 2076623538 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 282N00000X | General Acute Care Hospital | 38170 | ME | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 1659392819-001 | 05 |
| Other Name | Type Code |
|---|---|
| SMHC Physician Services | Doing Business As Name - Organization |
| SMHC Physician Services | Other Name - Individual/Organization |
| Southern Maine Health Care | 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 |
ONE MEDICAL CENTER DRIVE |
| City | BIDDEFORD |
| State | ME |
| Zip Code | 04005-9422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154621076 | Mary Casey Murphy | Emergency Medicine | One Medical Center Drive, Biddeford, ME 04005 | 2010-10-26 |
| 1538393541 | Mark M Grohman | Hospitalist | One Medical Center Drive, Biddeford, ME 04005 | 2009-05-05 |
| 1780824300 | Jason M Aines | Emergency Medicine | One Medical Center Drive, Biddeford, ME 04005 | 2009-02-22 |
| 1184877839 | Jessica H Stevens | Emergency Medicine | One Medical Center Drive, Biddeford, ME 04005 | 2008-10-28 |
| 1952559908 | Kristy M Surprise | Nurse Practitioner | One Medical Center Drive, Biddeford, ME 04005 | 2008-09-03 |
| 1548417397 | John J Kurucz | Emergency Medicine | One Medical Center Drive, Biddeford, ME 04005 | 2008-08-23 |
| 1124102389 | Daniel Mazza IIi | Family Medicine | One Medical Center Drive, Biddeford, ME 04005 | 2006-10-24 |
| 1366412488 | James E Longstaff | Preventive Medicine | One Medical Center Drive, Biddeford, ME 04005 | 2006-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235600479 | Hilary Mitchell-clark | Massage Therapist | 311 Alfred St. Massage Craft, Biddeford, ME 04005 | 2018-12-16 |
| 1598266793 | Galicia Fryzlewicz | Physical Medicine & Rehabilitation | 11 Hills Beach Road, Biddeford, ME 04005 | 2018-02-22 |
| 1487175550 | Emily Abbie Burns | Dentist | 125-126 Shops Way, Biddeford, ME 04005 | 2017-06-29 |
| 1811365513 | Sarah D. Shepherd, D.o.llc | Clinic/Center | 27 Wadlin Road, Biddeford, ME 04005 | 2015-09-11 |
| 1598012213 | Shayne Mcmahon Foley | Physician Assistant | 1 Medial Center Drive, Biddeford, ME 04005 | 2012-08-13 |
| 1174807374 | Justin Clark Cialfi | Counselor | 6d Wellspring Road, Biddeford, ME 04005 | 2011-10-06 |
| 1689981763 | Ann Burton | Physical Therapist | 4 Autumn Ln, Biddeford, ME 04005 | 2010-09-09 |
| 1164733978 | Christopher Patrick Blomberg | Internal Medicine | 9 Healthcare Dr Ste 105, Biddeford, ME 04005 | 2010-06-25 |
| 1821324815 | Oceanside Community Services | Community/Behavioral Health | 22 W Cole Rd Ste 103, Biddeford, ME 04005 | 2009-10-26 |
| 1386979383 | New Communities, Inc. | Assisted Living Facility | 2 Dartmouth Street, Biddeford, ME 04005 | 2009-10-08 |
| Find all providers in zip 04005 | ||||
| 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.