CALAIS REGIONAL HOSPITAL (NPI# 1922001049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922001049 |
Entity Type | Organization |
Organization Name | CALAIS REGIONAL HOSPITAL |
Practice Address |
24 Hospital Ln Calais ME 04619-1329 |
Practice Telephone | 2074547521 |
Practice Fax Number | 2074543616 |
Mailing Telephone | 2074547521 |
Mailing Fax Number | 2074543616 |
Enumeration Date | 2005-05-23 |
Last Update Date | 2019-09-30 |
Authorized Official Name | MS. MARY BARNETT (COMPLIANCE OFFICER) |
Authorized Official Telephone | 2074549228 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
37339 | ME | Hospitals |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ME | ANTHEM BLUE CROSS | 000008 | 01 |
ME | CIGNA | 0439887 | 01 |
ME | HARVARD PILGRIM | 900800 | 01 |
ME | AETNA | 0012304 | 01 |
ME | 101960100 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205259736 | Calais Regional Hospital | Nurse Practitioner | 15 Palmer St, Calais, ME 04619-1305 | 2014-02-04 |
1346706629 | Calais Regional Hospital | Clinic/Center | 30 Boynton St, Eastport, ME 04631-1306 | 2019-02-12 |
1013332584 | Calais Regional Hospital | Internal Medicine | 43 Palmer St, Suite 2, Calais, ME 04619-1305 | 2014-02-20 |
1780015107 | Calais Regional Hospital | Radiology | 24 Hospital Ln, Calais, ME 04619-1329 | 2013-12-11 |
1134200702 | Calais Regional Hospital | Clinic/Center | 37 Palmer St, Calais, ME 04619-1305 | 2006-10-18 |
1902907983 | Calais Regional Hospital | Radiology | 24 Hospital Ln, Calais, ME 04619 | 2006-09-25 |
1376546143 | Calais Regional Hospital | Medicare Defined Swing Bed Unit | 24 Hospital Ln, Calais, ME 04619-1329 | 2005-05-24 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | CALAIS REGIONAL HOSPITAL | 24 Hospital Ln, Calais, ME 04619-1329 |
Street Address |
24 HOSPITAL LN |
City | CALAIS |
State | ME |
Zip Code | 04619-1329 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578109153 | Blake Jon Lundgren | Physical Therapist | 24 Hospital Ln, Calais, ME 04619-1329 | 2019-11-19 |
1013552009 | Calais Emergency Physicians LLC | Emergency Medicine | 24 Hospital Ln, Calais, ME 04619-1329 | 2019-11-13 |
1508425208 | Michael Steven Bodkin | Registered Nurse | 24 Hospital Ln, Calais, ME 04619-1329 | 2019-06-07 |
1699339689 | Deborah Lee Harris | Physical Therapist | 24 Hospital Ln, Calais, ME 04619-1329 | 2019-04-25 |
1043775463 | Candace Jean Kelley | Physical Therapist | 24 Hospital Ln, Calais, ME 04619-1329 | 2019-02-11 |
1942765805 | Laura Marie Barnett | Occupational Therapist | 24 Hospital Ln, Calais, ME 04619-1398 | 2019-02-05 |
1073078184 | Emily Smith | Physical Therapy Assistant | 24 Hospital Ln, Calais, ME 04619-1329 | 2019-02-02 |
1255895819 | Bruce R. Stevens | Physical Therapy Assistant | 24 Hospital Ln, Calais, ME 04619-1329 | 2019-01-29 |
1801350319 | Morgan Ann Merchant | Occupational Therapist | 24 Hospital Ln, Calais, ME 04619-1329 | 2019-01-29 |
1477910206 | Nicholas S Quinton | Nurse Anesthetist, Certified Registered | 24 Hospital Ln, Calais, ME 04619-1329 | 2016-01-25 |
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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 | 282NC0060X |
Grouping | Hospitals |
Classification | General Acute Care Hospital |
Specialization | Critical Access |
Definition to come. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912304205 | Mainehealth | General Acute Care Hospital | 41 Spring Hill Rd, Saco, ME 04072-9650 | 2014-12-02 |
1548463623 | Mrh Corp. | General Acute Care Hospital | 897 W Main Street, Dover Foxcroft, ME 04426 | 2007-06-07 |
1558319103 | Mrh Corp. | General Acute Care Hospital | 897 W Main St, Dover Foxcroft, ME 04426-1029 | 2006-05-05 |
1093716086 | Penobscot Valley Hospital | General Acute Care Hospital | 7 Transalpine Rd, Lincoln, ME 04457-4222 | 2005-08-02 |
1629558432 | Mainehealth | General Acute Care Hospital | 35 Miles St, Damariscotta, ME 04543-4047 | 2018-08-21 |
1386090538 | Kimberly Felicetti | General Acute Care Hospital | 118 Northport Ave, Belfast, ME 04915-6009 | 2016-05-06 |
1811288061 | Mainehealth | General Acute Care Hospital | 193 Main St, Suite 9, Norway, ME 04268-5645 | 2011-04-22 |
1528359841 | Stephens Memorial Hospital Association | General Acute Care Hospital | 34 Winter St, Norway, ME 04268-5620 | 2011-04-20 |
1346480241 | Sebasticook Valley Hospital Associates | General Acute Care Hospital | 447 N Main St, Pittsfield, ME 04967-3707 | 2009-03-05 |
1023272853 | Blue Hill Memorial Hospital | General Acute Care Hospital | 57 Water Street, Blue Hill, ME 04614 | 2008-07-10 |
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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.