PENOBCOT BAY MEDICAL CENTER (NPI# 1730303702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730303702 |
| Entity Type | Organization |
| Organization Name | PENOBCOT BAY MEDICAL CENTER |
| Practice Address |
756 Commercial St Rockport ME 04856-4201 |
| Mailing Address |
269 Old County Rd Rockland ME 04841-5506 |
| Practice Telephone | 2075935566 |
| Mailing Telephone | 2075947961 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CHARLOTTE M CAMPBELL (NP) |
| Authorized Official Telephone | 2065935580 |
| Authorized Official Credential | RN,MSN,FNP-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
R018379 | ME | Ambulatory Health Care Facilities |
| Street Address |
756 COMMERCIAL ST |
| City | ROCKPORT |
| State | ME |
| Zip Code | 04856-4201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376529305 | Charles Dunner | Radiologic Technologist | 756 Commercial St, Rockport, ME 04856-4201 | 2005-12-21 |
| 1043470842 | Charlotte M Campbell | Nurse Practitioner | 756 Commercial St, Rockport, ME 04856-4201 | 2008-06-15 |
| 1164643128 | Lise A Desjardins | Nurse Practitioner | 756 Commercial St, Rockport, ME 04856-4201 | 2007-05-01 |
| 1639155674 | Seacoast Ultrasound Imaging, Inc | Radiologic Technologist | 756 Commercial St, Rockport, ME 04856-4201 | 2005-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881171585 | Lisa Manley | Physical Therapist | 6 Glen Cove Drive, Pbmc, Rockport, Me, ME 04856 | 2018-07-25 |
| 1871096834 | Brenda K Berry | Registered Nurse | 731 Commercial Street, Rockport, ME 04856 | 2018-03-15 |
| 1174908495 | Atlantic Behavior Services, Inc | Behavioral Analyst | 112 Union Street, Rockport, ME 04856 | 2015-07-28 |
| 1326451212 | Abigail Bernett Ryan | Clinical Neuropsychologist | 220 Union St, Rockport, ME 04856 | 2014-06-09 |
| 1790024438 | Michelle Gallant | Dental Hygienist | 37 Chickawaukie Pond Rd, Rockport, ME 04856 | 2013-01-31 |
| 1316221666 | Nancy K Alexander | Advanced Practice Midwife | 3 Glen Cove Dr Ste 1, Rockport, ME 04856 | 2011-10-05 |
| 1619283793 | Karen Canfield | Social Worker | 41 Forsest St, Rockport, ME 04856 | 2010-08-26 |
| 1518283530 | Kendra Emery | Family Medicine | 7 Madelyn Ln Ste 200, Rockport, ME 04856 | 2010-04-15 |
| 1598999369 | Patricia L. Kristiansen | Occupational Therapy Assistant | 6 Madelyn Lane, Rockport, ME 04856 | 2009-05-08 |
| 1801020797 | Tiffany Ann Darge | Dental Hygienist | 1060 Commercial St., Rockport, ME 04856 | 2009-05-07 |
| Find all providers in zip 04856 | ||||
| Taxonomy Code | 261QX0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Occupational Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962044362 | Coastal Kids Occupational Therapy | Clinic/Center | 8 Warrens Way, Kennebunk, ME 04043-6115 | 2019-10-17 |
| 1326579889 | Lighthouse Therapy Services LLC | Clinic/Center | 1458 Washington Ave, Portland, ME 04103-2022 | 2017-03-25 |
| 1417939612 | Seal Rock Associates LLC | Clinic/Center | 88 Harbor Drive, Saco, ME 04072 | 2005-11-15 |
| 1518948348 | Woodlawn Nursing Home Inc | Clinic/Center | 59 W Front St, Skowhegan, ME 04976-1126 | 2005-11-09 |
| 1710977236 | Colonial Acres Associates | Clinic/Center | 36 Workman Ter, Lincoln, ME 04457-1162 | 2005-10-26 |
| 1962499053 | Ross Manor Associates | Clinic/Center | 758 Broadway, Bangor, ME 04401-3224 | 2005-10-04 |
| 1477004414 | Suzanne Marie Davis | Clinic/Center | 15 Hasson St, Farmingdale, ME 04344-1613 | 2016-10-14 |
| 1255708194 | Workhealth, LLC | Clinic/Center | 885 Union St, Suite 215, Bangor, ME 04401-3083 | 2015-08-26 |
| 1790055234 | Sebasticook Valley Work Health | Clinic/Center | 125 Main St, Pittsfield, ME 04967-4364 | 2011-12-30 |
| 1265590699 | Coastal Medical Care | Clinic/Center | 118 Northport Ave, Belfast, ME 04915-6009 | 2006-12-05 |
| 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.