NORTHERN MAINE MEDICAL CENTER (NPI# 1891184172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891184172 |
| Entity Type | Organization |
| Organization Name | NORTHERN MAINE MEDICAL CENTER |
| Practice Address |
194 E Main St Fort Kent ME 04743-1428 |
| Practice Telephone | 2078343155 |
| Practice Fax Number | 2078341410 |
| Mailing Telephone | 2078343155 |
| Mailing Fax Number | 2078341410 |
| Enumeration Date | 2015-01-09 |
| Last Update Date | 2015-03-25 |
| Authorized Official Name | MR. PETER SIROIS (CEO) |
| Authorized Official Telephone | 2078343155 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | 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 |
| 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 |
| 1962481077 | Northern Maine Medical Center | General Practice | 194 E Main St, Fort Kent, ME 04743 | 2006-01-17 |
| 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 E MAIN ST |
| City | FORT KENT |
| State | ME |
| Zip Code | 04743-1428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467441774 | Alexandre Gennadievich Andrianov | Internal Medicine | 194 E Main St, Fort Kent, ME 04743-1428 | 2005-10-19 |
| 1366041113 | Jordan Albert | Pharmacist | 194 E Main St, Fort Kent, ME 04743-1428 | 2020-10-22 |
| 1093330441 | Stephanie Lynne Michaud | Nurse Practitioner | 194 E Main St, Fort Kent, ME 04743-1428 | 2020-06-11 |
| 1306485511 | Jodi Pearl Cote | Nurse Practitioner | 194 E Main St, Fort Kent, ME 04743-1428 | 2020-01-06 |
| 1003459231 | Alicia Lyn Soucy | Nurse Practitioner | 194 E Main St, Fort Kent, ME 04743-1428 | 2019-10-21 |
| 1558904771 | Crystal Lynn Hughes | Social Worker | 194 E Main St, Fort Kent, ME 04743-1428 | 2019-10-21 |
| 1851942429 | Northern Maine Medical Center | Pharmacy | 194 E Main St, Fort Kent, ME 04743-1428 | 2019-09-25 |
| 1316507437 | Andrna Erica Christopher | Nurse Practitioner | 194 E Main St, Fort Kent, ME 04743-1428 | 2019-06-20 |
| 1760946107 | Kelly Ann Lozier | Occupational Therapist | 194 E Main St, Fort Kent, ME 04743-1428 | 2019-01-30 |
| 1578027405 | Leslie-ann Labonte | Occupational Therapist | 194 E Main St, Fort Kent, ME 04743-1428 | 2019-01-24 |
| Find all providers in the same location | ||||
| 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 | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104834977 | Eastern Maine Healthcare Systems | Medicare Defined Swing Bed Unit | 364 Pritham Avenue, Greenville, ME 04441 | 2006-08-04 |
| 1255791026 | Aroostook Medical Center | Medicare Defined Swing Bed Unit | 140 Academy St, Presque Isle, ME 04769-3102 | 2016-03-07 |
| 1982029468 | Redington-fairview General Hospital | Medicare Defined Swing Bed Unit | 46 Fairview Ave, Skowhegan, ME 04976 | 2014-02-20 |
| 1013355254 | Houlton Regional Hospital | Medicare Defined Swing Bed Unit | 20 Hartford St, Houlton, ME 04730-1891 | 2013-06-10 |
| 1336587542 | Down East Community Hospital | Medicare Defined Swing Bed Unit | 11 Hospital Dr, Machias, ME 04654-3325 | 2013-06-10 |
| 1184944878 | Mainehealth | Medicare Defined Swing Bed Unit | 118 Northport Ave, Belfast, ME 04915-6009 | 2010-06-04 |
| 1982742482 | Rumford Hospital | Medicare Defined Swing Bed Unit | 420 Franklin St, Rumford, ME 04276-2104 | 2007-02-05 |
| 1477691467 | Bridgton Hospital | Medicare Defined Swing Bed Unit | 10 Hospital Dr, Bridgton, ME 04009-1148 | 2007-02-02 |
| 1316035116 | Mainehealth | Medicare Defined Swing Bed Unit | 35 Miles St, Damariscotta, ME 04543-4047 | 2006-10-10 |
| 1548355654 | Miles Memorial Hospital Incorporated | Medicare Defined Swing Bed Unit | 35 Miles St, Damariscotta, ME 04543-4047 | 2006-10-04 |
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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.