MAINEHEALTH (NPI# 1881709202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881709202 |
| Entity Type | Organization |
| Organization Name | MAINEHEALTH |
| Other Organization Name | LMP FAMILY CARE CENTER |
| Practice Address |
19 Saint Andrews Ln Boothbay Harbor ME 04538-1732 |
| Mailing Address |
Po Box 745 Newcastle ME 04553-0745 |
| Practice Telephone | 2076337820 |
| Practice Fax Number | 2076337082 |
| Mailing Telephone | 2075634146 |
| Mailing Fax Number | 2075634103 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2019-01-04 |
| Authorized Official Name | LUGENE ANTHONY INZANA (SVP FINANCE, CFO) |
| Authorized Official Telephone | 2076623538 |
| Is Organization Subpart | Y |
| Parent Organization Name | MAINEHEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 367A00000X | Advanced Practice Midwife | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 1881709202-002 | 05 |
| Other Name | Type Code |
|---|---|
| LMP Family Care Center | 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 |
19 SAINT ANDREWS LN |
| City | BOOTHBAY HARBOR |
| State | ME |
| Zip Code | 04538-1732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457393472 | Anne Barker | Nurse Practitioner | 19 Saint Andrews Ln, Boothbay Harbor, ME 04538-1732 | 2006-06-12 |
| 1972079598 | Carmen Fortin | Nurse Practitioner | 19 Saint Andrews Ln, Boothbay Harbor, ME 04538-1732 | 2018-10-22 |
| 1568893006 | Lincolnhealth | Social Worker | 19 Saint Andrews Ln, Boothbay Harbor, ME 04538-1732 | 2013-12-10 |
| 1740332741 | Lincolnhealth | Internal Medicine | 19 Saint Andrews Ln, Boothbay Harbor, ME 04538-1732 | 2007-01-18 |
| 1154473585 | Aquilino Alamo | Internal Medicine | 19 Saint Andrews Ln, Boothbay Harbor, ME 04538-1732 | 2007-01-17 |
| 1518900422 | Alan Barker | Family Medicine | 19 Saint Andrews Ln, Boothbay Harbor, ME 04538-1732 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235204157 | Miles Memorial Hospital | Obstetrics & Gynecology | 137b Townsend Ave, Boothbay Harbor, ME 04538 | 2006-11-24 |
| 1528151065 | Mainehealth | Nursing Facility/Intermediate Care Facility | 145 Emery Lane, Boothbay Harbor, ME 04538 | 2006-10-02 |
| 1851331375 | Elizabeth Julia Drury | Registered Nurse | 19 St Andrew's Lane, Boothbay Harbor, ME 04538 | 2006-06-07 |
| 1730159872 | Garth A Miller Md Pa | Internal Medicine | 14 St Andrews Ln, Boothbay Harbor, ME 04538 | 2006-01-23 |
| 1275533176 | John Carl White | Emergency Medicine | Lincoln Health, 35 Miles Street, Damariscotta, ME 04538 | 2005-07-21 |
| 1760939334 | Emily Erpenbeck | Pharmacist | 223 Townsend Ave, Rite Aid, Boothbay Harbor, ME 04538 | 2016-09-01 |
| 1669569133 | Mainehealth | Alzheimer Center (Dementia Center) | 145 Emery Lane, Boothbay Harbor, ME 04538 | 2006-10-06 |
| 1093801284 | Mainehealth | Assisted Living Facility | 145 Emery Lane, Boothbay Harbor, ME 04538 | 2006-10-05 |
| 1295820652 | St. Andrews Hospital | Home Health | 6 St. Andrews Lane, Boothbay Harbor, ME 04538-0417 | 2006-10-03 |
| 1144330432 | Dimereze Mary Clark | Dietitian, Registered | 6 Saint Andrews Ln, Boothbay Harbor, ME 04538-1731 | 2006-08-30 |
| Find all providers in zip 04538 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295800118 | Mainehealth | Clinic/Center | Cape Jellison Road, Stockton Springs, ME 04981 | 2006-11-24 |
| 1679668180 | Sunbury Primary Care, P.a. | Clinic/Center | 775 N Main Rd, Winterport, ME 04496 | 2006-10-03 |
| 1902841083 | Rumford Community Family Health Center, Inc. | Clinic/Center | 146 Weld St, Dixfield, ME 04224-9614 | 2006-06-20 |
| 1871568766 | Rockomeka Family Practice LLC | Clinic/Center | 38 Union Street, Livermore Falls, ME 04254 | 2006-02-22 |
| 1851397475 | Down East Community Hospital | Clinic/Center | 24 School St, Milbridge, ME 04658-0005 | 2005-06-28 |
| 1295367803 | Sebasticook Valley Health | Clinic/Center | 26 Main St Ste 2, Newport, ME 04953-4163 | 2020-02-11 |
| 1245873082 | Mainehealth | Clinic/Center | 181 Franklin Health Commons, Farmington, ME 04938 | 2019-10-24 |
| 1619510047 | Mainehealth | Clinic/Center | 131 Franklin Health Cmns, Farmington, ME 04938-6142 | 2019-10-17 |
| 1811451081 | Mainehealth | Clinic/Center | 21 Main St, Livermore Falls, ME 04254-1219 | 2019-01-22 |
| 1922550417 | Down East Community Hospital | Clinic/Center | 70 Snare Creek Ln, Jonesport, ME 04649-3139 | 2016-10-31 |
| Find all providers with the same taxonomy | ||||
| City | BOOTHBAY HARBOR |
| Zip Code | 04538 |
Please comment or provide details below to improve the information on MAINEHEALTH.
| 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.