EASTPORT HEALTH CARE, INC. (NPI# 1770878167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770878167 |
| Entity Type | Organization |
| Organization Name | EASTPORT HEALTH CARE, INC. |
| Practice Address |
55 Franklin St Calais ME 04619-1301 |
| Mailing Address |
Po Box H Eastport ME 04631-0909 |
| Practice Telephone | 2074543022 |
| Practice Fax Number | 2074543099 |
| Mailing Telephone | 2078536001 |
| Mailing Fax Number | 2078534031 |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2015-11-17 |
| Authorized Official Name | HOLLY M GARTMAYER (CEO) |
| Authorized Official Telephone | 2078536001 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568757946 | Eastport Health Care, Inc. | Clinic/Center | 10 Palmer St, Calais, ME 04619-1386 | 2011-06-14 |
| 1295020691 | Eastport Health Care, Inc. | Clinic/Center | 53 Fremont St, Machias, ME 04654-1320 | 2011-06-14 |
| 1093752917 | Eastport Health Care, Inc. | Clinic/Center | 30 Boynton St, Eastport, ME 04631-1306 | 2006-05-31 |
| Street Address |
55 FRANKLIN ST |
| City | CALAIS |
| State | ME |
| Zip Code | 04619-1301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629554209 | Jahoon Koo | Nurse Practitioner | 24 Hospital Lane Calais, Calais, ME 04619 | 2018-07-17 |
| 1114458080 | Helpinghand 643939nbltd | Homemaker | 295 North Street, Calis, ME 04619 | 2017-03-23 |
| 1992063440 | Coastal Med Tech Inc | Durable Medical Equipment & Medical Supplies | 376 North Maine Street, Suite C, Calais, ME 04619 | 2012-05-02 |
| 1275820672 | Karen L Sears | Pharmacist | 223 and 233 North Street, Calais, ME 04619 | 2011-07-06 |
| 1376857458 | David L Wyman | Pharmacist | 223 and 233 North St, Rite Aid Pharmacy, Calais, ME 04619 | 2010-08-02 |
| 1902132038 | Brenda Ann Spear | Developmental Therapist | 23 Center Street, Baring Plt., ME 04619 | 2009-10-24 |
| 1285762328 | City of Calais | Clinic/Center | 34 Blue Devil Hill, Calais, ME 04619 | 2007-03-01 |
| 1467540930 | Brian Earle Thompson | Social Worker | 55 Franklin Street, Eastport Health Care, Calais, ME 04619 | 2006-10-10 |
| 1588770689 | William Robert Gould | Dentist | 399 Main Steet, Calais, ME 04619 | 2006-08-22 |
| 1588637532 | Edward C Barrera | Radiology | 24 Hospital Lane, Calais, ME 04619 | 2006-02-09 |
| Find all providers in zip 04619 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467573469 | St. Croix Regional Family Health Center | Clinic/Center | 5 Lowell St Ste 6, Calais, ME 04619-0116 | 2007-04-03 |
| 1639644586 | Regional Medical Center At Lubec | Clinic/Center | 5 Lowell St, Calais, ME 04619-1712 | 2018-10-08 |
| 1568757946 | Eastport Health Care, Inc. | Clinic/Center | 10 Palmer St, Calais, ME 04619-1386 | 2011-06-14 |
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|---|---|---|---|---|
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| 1295386316 | Community Clinical Services, Inc | Clinic/Center | 1250 Turner St, Auburn, ME 04210-6436 | 2019-09-20 |
| 1679047872 | Portland Community Health Center | Clinic/Center | 52 Frederic St, Portland, ME 04102-2700 | 2019-01-22 |
| 1043783822 | Portland Community Health Center | Clinic/Center | 72 Bishop St, Portland, ME 04102-2957 | 2019-01-04 |
| 1770056558 | Portland Community Health Center | Clinic/Center | 190 Valley Street, Portland, ME 04102-2957 | 2019-01-04 |
| 1760973960 | Penobscot Community Health Center | Clinic/Center | 1012 Union St Ste 3, Bangor, ME 04401-3058 | 2018-05-23 |
| 1700317971 | Portland Community Health Center | Clinic/Center | 28 Portland St, Portland, ME 04101-2912 | 2017-03-21 |
| 1184165367 | Katahdin Valley Health Center | Clinic/Center | 65 South St, Houlton, ME 04730-1550 | 2017-03-20 |
| 1255872537 | Portland Community Health Center | Clinic/Center | 175 Auburn St, Portland, ME 04103-2131 | 2017-03-20 |
| 1881135192 | Portland Community Health Center | Clinic/Center | 353 Cumberland Avenue, Cliff Island, ME 04109-0008 | 2017-03-20 |
| 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.