NORTHERN MAINE MEDICAL CENTER (NPI# 1801872759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801872759 |
| 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 | 2005-12-21 |
| Last Update Date | 2011-06-06 |
| Authorized Official Name | MR. PETER J. SIROIS (INTERIM CEO) |
| Authorized Official Telephone | 2078343155 |
| Authorized Official Credential | CFO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | 36341 | ME | Hospital Units |
| 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 |
| 1568465144 | Northern Maine Medical Center | General Acute Care Hospital | 194 East Main Street, Fort Kent, ME 04743-1428 | 2005-05-27 |
| 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 |
| 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 |
|---|---|---|---|---|
| 1568465144 | Northern Maine Medical Center | General Acute Care Hospital | 194 East Main Street, Fort Kent, ME 04743-1428 | 2005-05-27 |
| 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 | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952495590 | Togus Va Medical Center | Psychiatric Unit | 1 Va Station, 116b, Togus, ME 04330 | 2006-10-03 |
| 1245292788 | St. Mary's Regional Medical Center | Psychiatric Unit | 93 Campus Avenue, Lewiston, ME 04240-6030 | 2006-04-03 |
| 1841735297 | Penobscot Bay Medical Center | Psychiatric Unit | 6 Glen Cove Drive, Rockport, ME 04856 | 2016-12-21 |
| 1528213352 | Addiction Resource Center | Psychiatric Unit | 66 Baribeau Dr, Brunswick, ME 04011-3230 | 2008-11-20 |
| 1831112952 | Mainehealth | Psychiatric Unit | 1 Medical Center Dr, Biddeford, ME 04005-9422 | 2006-07-26 |
| 1811917222 | Mainehealth | Psychiatric Unit | 22 Bramhall St, Portland, ME 04102 | 2006-07-20 |
Please comment or provide details below to improve the information on NORTHERN MAINE MEDICAL CENTER.
| 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.